| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,904 |
1,636 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
607 |
311 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,046 |
935 |
$9K |
| 80061 |
Lipid panel |
1,031 |
934 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,213 |
1,091 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
119 |
112 |
$4K |
| 86738 |
|
334 |
298 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
117 |
106 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
116 |
105 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
405 |
350 |
$3K |
| 84439 |
|
521 |
473 |
$3K |
| 82274 |
|
241 |
224 |
$3K |
| 81001 |
|
1,322 |
1,184 |
$2K |
| 80074 |
|
51 |
49 |
$2K |
| 86703 |
|
122 |
110 |
$1K |
| 84153 |
|
117 |
112 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
100 |
92 |
$686.85 |
| 85027 |
|
127 |
117 |
$653.55 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27 |
27 |
$650.00 |
| 84479 |
|
290 |
272 |
$569.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$530.36 |
| 85730 |
|
90 |
75 |
$463.26 |
| 86592 |
|
151 |
139 |
$444.67 |
| 85610 |
|
90 |
75 |
$328.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
448 |
408 |
$314.81 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
39 |
32 |
$296.00 |
| 87276 |
|
13 |
13 |
$160.70 |
| 87275 |
|
13 |
13 |
$122.50 |
| 85651 |
|
52 |
48 |
$118.49 |
| 84703 |
|
14 |
12 |
$82.72 |
| 86701 |
|
12 |
12 |
$68.90 |
| 86140 |
|
13 |
12 |
$51.80 |
| 82570 |
|
165 |
155 |
$30.84 |
| 82043 |
|
206 |
187 |
$28.63 |
| 3061F |
|
154 |
141 |
$0.00 |
| 3044F |
|
303 |
292 |
$0.00 |