| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
222 |
178 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,126 |
712 |
$8K |
| 80053 |
Comprehensive metabolic panel |
670 |
506 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
546 |
497 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
207 |
202 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
298 |
174 |
$2K |
| 81003 |
|
1,029 |
946 |
$2K |
| 84484 |
|
171 |
145 |
$2K |
| 86703 |
|
146 |
146 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30 |
29 |
$1K |
| 83735 |
|
196 |
144 |
$1K |
| 84703 |
|
120 |
117 |
$902.40 |
| 83880 |
|
28 |
25 |
$854.46 |
| 84153 |
|
46 |
45 |
$698.82 |
| 86900 |
|
188 |
177 |
$553.15 |
| 87209 |
|
35 |
35 |
$535.86 |
| 83690 |
|
69 |
63 |
$468.52 |
| 85730 |
|
66 |
63 |
$390.65 |
| 85610 |
|
90 |
72 |
$377.52 |
| 82728 |
|
29 |
29 |
$368.01 |
| 87116 |
|
35 |
30 |
$356.40 |
| 87177 |
|
35 |
35 |
$311.50 |
| 88141 |
|
12 |
12 |
$289.56 |
| 87070 |
|
33 |
31 |
$275.84 |
| 85651 |
|
58 |
56 |
$239.12 |
| 83550 |
|
28 |
28 |
$235.98 |
| 84702 |
|
13 |
12 |
$195.65 |
| 82746 |
|
13 |
13 |
$191.10 |
| 85660 |
|
33 |
33 |
$181.83 |
| 82607 |
|
12 |
12 |
$180.96 |
| 82950 |
|
23 |
17 |
$166.25 |
| 86140 |
|
33 |
28 |
$165.76 |
| 84439 |
|
13 |
13 |
$108.24 |
| 82465 |
|
25 |
25 |
$104.40 |
| 84550 |
|
17 |
13 |
$76.84 |
| 87210 |
|
14 |
13 |
$75.66 |
| 86901 |
|
12 |
12 |
$35.88 |
| 86593 |
|
62 |
62 |
$0.00 |