| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
38,567 |
14,790 |
$256K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
18,524 |
7,870 |
$172K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18,579 |
7,929 |
$169K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
8,548 |
3,504 |
$78K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,558 |
1,817 |
$59K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
11,617 |
4,767 |
$45K |
| 88307 |
|
5,140 |
1,524 |
$41K |
| 88342 |
|
7,352 |
2,500 |
$21K |
| 88304 |
|
3,611 |
1,108 |
$9K |
| 88312 |
|
1,519 |
541 |
$3K |
| 88141 |
|
2,165 |
788 |
$2K |
| 84165 |
|
2,676 |
1,119 |
$2K |
| 88341 |
|
137 |
41 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,229 |
3,717 |
$939.95 |
| 85060 |
|
842 |
295 |
$676.60 |
| 86901 |
|
545 |
334 |
$476.46 |
| 80053 |
Comprehensive metabolic panel |
2,601 |
1,459 |
$453.20 |
| 81001 |
|
834 |
766 |
$408.74 |
| 88302 |
|
88 |
55 |
$302.99 |
| 86334 |
|
517 |
225 |
$297.76 |
| 88300 |
|
40 |
25 |
$297.27 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,464 |
1,221 |
$249.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,607 |
1,391 |
$215.05 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,009 |
668 |
$180.00 |
| 88184 |
|
101 |
28 |
$111.61 |
| 86850 |
|
299 |
204 |
$81.62 |
| 83690 |
|
374 |
333 |
$69.82 |
| 81025 |
|
463 |
437 |
$65.31 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
534 |
411 |
$59.40 |
| 84484 |
|
361 |
304 |
$57.88 |
| 82803 |
|
229 |
110 |
$37.94 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
59 |
56 |
$33.00 |
| 83735 |
|
455 |
278 |
$24.66 |
| 82947 |
|
963 |
382 |
$24.41 |
| 83605 |
|
170 |
86 |
$15.71 |
| 86140 |
|
17 |
13 |
$15.22 |
| 80143 |
|
26 |
12 |
$15.00 |
| 82310 |
|
337 |
206 |
$13.58 |
| 82374 |
|
340 |
209 |
$13.20 |
| 82435 |
|
343 |
211 |
$12.76 |
| 85610 |
|
335 |
283 |
$10.99 |
| 84460 |
|
193 |
157 |
$10.79 |
| 86900 |
|
609 |
381 |
$10.70 |
| 84075 |
|
192 |
156 |
$10.61 |
| 84450 |
|
193 |
157 |
$10.60 |
| 82247 |
|
245 |
191 |
$10.39 |
| 82040 |
|
192 |
156 |
$10.29 |
| 81003 |
|
851 |
642 |
$8.08 |
| 84155 |
|
192 |
156 |
$8.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
197 |
189 |
$6.81 |
| 86592 |
|
188 |
135 |
$6.28 |
| 82565 |
|
341 |
219 |
$6.00 |
| 84295 |
|
398 |
243 |
$6.00 |
| 84520 |
|
347 |
214 |
$6.00 |
| 84132 |
|
384 |
238 |
$6.00 |
| 82962 |
|
230 |
103 |
$4.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
79 |
$4.01 |
| 80320 |
|
83 |
80 |
$2.28 |
| 81015 |
|
49 |
47 |
$1.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
89 |
$0.00 |
| 83006 |
|
156 |
54 |
$0.00 |
| 84702 |
|
57 |
39 |
$0.00 |
| 80347 |
|
19 |
18 |
$0.00 |
| 82948 |
|
30 |
12 |
$0.00 |
| 87899 |
|
18 |
14 |
$0.00 |
| 85014 |
|
77 |
66 |
$0.00 |
| 87186 |
|
35 |
33 |
$0.00 |
| 86480 |
|
16 |
12 |
$0.00 |
| 82775 |
|
17 |
17 |
$0.00 |
| 80326 |
|
19 |
18 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 80349 |
|
78 |
61 |
$0.00 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
174 |
78 |
$0.00 |
| 87088 |
|
75 |
63 |
$0.00 |
| 83021 |
|
199 |
74 |
$0.00 |
| 82553 |
|
81 |
73 |
$0.00 |
| 86880 |
|
16 |
16 |
$0.00 |
| 88185 |
|
101 |
28 |
$0.00 |
| 85027 |
|
127 |
71 |
$0.00 |
| 85730 |
|
132 |
119 |
$0.00 |
| 82261 |
|
199 |
75 |
$0.00 |
| 83498 |
|
16 |
16 |
$0.00 |
| 87040 |
|
14 |
14 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
89 |
85 |
$0.00 |
| 87077 |
|
34 |
32 |
$0.00 |
| 88720 |
|
390 |
133 |
$0.00 |
| 82379 |
|
15 |
15 |
$0.00 |
| 82017 |
|
16 |
16 |
$0.00 |
| 82550 |
|
99 |
85 |
$0.00 |
| 84703 |
|
15 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$0.00 |
| 83520 |
|
16 |
16 |
$0.00 |
| 82139 |
|
16 |
16 |
$0.00 |
| 87430 |
|
17 |
17 |
$0.00 |