| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85027 |
|
3,566 |
3,542 |
$6K |
| ATP08 |
|
1,262 |
1,220 |
$3K |
| ATP14 |
|
1,188 |
1,162 |
$3K |
| 85018 |
|
2,805 |
2,805 |
$3K |
| 85014 |
|
2,796 |
2,796 |
$3K |
| 82951 |
|
194 |
194 |
$2K |
| 82950 |
|
713 |
713 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,271 |
1,233 |
$2K |
| ATP07 |
|
601 |
591 |
$2K |
| 85610 |
|
1,122 |
853 |
$1K |
| ATP15 |
|
317 |
299 |
$920.27 |
| 82947 |
|
698 |
697 |
$806.36 |
| 85651 |
|
330 |
325 |
$714.48 |
| ATP06 |
|
327 |
323 |
$666.22 |
| 82952 |
|
174 |
174 |
$508.91 |
| ATP02 |
|
168 |
168 |
$332.77 |
| ATP03 |
|
145 |
142 |
$294.98 |
| 85004 |
|
367 |
320 |
$206.06 |
| ATP10 |
|
53 |
53 |
$169.62 |
| 85730 |
|
54 |
54 |
$156.00 |
| 83735 |
|
99 |
87 |
$150.62 |
| 82565 |
|
965 |
950 |
$114.97 |
| 84702 |
|
17 |
12 |
$95.53 |
| 85048 |
|
366 |
319 |
$80.34 |
| 84443 |
Thyroid stimulating hormone (TSH) |
140 |
140 |
$69.32 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
65 |
65 |
$61.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
96 |
96 |
$60.06 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19 |
19 |
$46.38 |
| 84132 |
|
158 |
152 |
$32.19 |
| 86803 |
|
18 |
18 |
$23.98 |
| 82550 |
|
36 |
36 |
$23.31 |
| 84460 |
|
356 |
353 |
$20.55 |
| 83690 |
|
12 |
12 |
$14.52 |
| 84550 |
|
103 |
103 |
$14.42 |
| 82728 |
|
22 |
22 |
$14.05 |
| ATP04 |
|
13 |
13 |
$10.48 |
| 87070 |
|
16 |
15 |
$8.88 |
| 82248 |
|
236 |
235 |
$7.69 |
| 83540 |
|
20 |
20 |
$6.67 |
| 84450 |
|
326 |
323 |
$2.85 |
| 81001 |
|
46 |
45 |
$2.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,074 |
1,029 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
79 |
77 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,119 |
923 |
$0.00 |
| ATP17 |
|
57 |
56 |
$0.00 |
| 80051 |
|
557 |
552 |
$0.00 |
| 87088 |
|
44 |
43 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,645 |
1,590 |
$0.00 |
| 87077 |
|
28 |
28 |
$0.00 |
| ATP11 |
|
17 |
17 |
$0.00 |
| 82607 |
|
37 |
37 |
$0.00 |
| 82746 |
|
22 |
22 |
$0.00 |
| 82043 |
|
37 |
37 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
21 |
21 |
$0.00 |
| 86140 |
|
23 |
22 |
$0.00 |
| 84153 |
|
35 |
35 |
$0.00 |
| 80197 |
|
16 |
15 |
$0.00 |
| 83550 |
|
17 |
17 |
$0.00 |
| 85652 |
|
33 |
32 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
59 |
58 |
$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 |
13 |
13 |
$0.00 |
| 84520 |
|
740 |
725 |
$0.00 |
| 80076 |
|
1,127 |
1,110 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
794 |
617 |
$0.00 |
| 80061 |
Lipid panel |
170 |
170 |
$0.00 |
| 84100 |
|
33 |
28 |
$0.00 |
| 83970 |
|
13 |
13 |
$0.00 |
| 84165 |
|
12 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
80 |
77 |
$0.00 |
| 84439 |
|
23 |
23 |
$0.00 |
| 87186 |
|
27 |
27 |
$0.00 |
| 82570 |
|
45 |
44 |
$0.00 |
| 86618 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
22 |
22 |
$0.00 |
| 86038 |
|
12 |
12 |
$0.00 |