| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,598 |
4,015 |
$132K |
| 80053 |
Comprehensive metabolic panel |
30,103 |
19,008 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,478 |
19,968 |
$37K |
| 88304 |
|
2,012 |
1,192 |
$17K |
| 83735 |
|
15,051 |
5,505 |
$16K |
| 83690 |
|
13,893 |
12,500 |
$15K |
| 84484 |
|
8,132 |
6,712 |
$11K |
| 84145 |
|
2,211 |
1,483 |
$9K |
| 87040 |
|
4,030 |
3,551 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
923 |
883 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,858 |
4,920 |
$7K |
| 88307 |
|
306 |
178 |
$7K |
| 83605 |
|
3,622 |
2,976 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,754 |
5,446 |
$5K |
| 84100 |
|
7,605 |
2,602 |
$4K |
| 83880 |
|
972 |
780 |
$4K |
| 85379 |
|
2,885 |
2,032 |
$4K |
| 86900 |
|
7,062 |
5,917 |
$4K |
| 85027 |
|
3,687 |
2,276 |
$4K |
| 86901 |
|
7,051 |
5,896 |
$3K |
| 81001 |
|
7,640 |
7,177 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
86 |
85 |
$3K |
| 80061 |
Lipid panel |
1,679 |
1,603 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,221 |
1,142 |
$3K |
| 88312 |
|
434 |
227 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,030 |
1,012 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
553 |
550 |
$2K |
| 85730 |
|
1,892 |
1,764 |
$2K |
| 86850 |
|
2,227 |
2,041 |
$2K |
| 84439 |
|
1,069 |
971 |
$2K |
| 86140 |
|
1,619 |
1,033 |
$1K |
| 82728 |
|
591 |
307 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
894 |
870 |
$1K |
| 87186 |
|
753 |
708 |
$965.96 |
| 87631 |
|
415 |
396 |
$950.00 |
| 86710 |
|
548 |
536 |
$844.18 |
| 85610 |
|
1,432 |
1,222 |
$781.75 |
| 87081 |
|
753 |
716 |
$610.92 |
| 86880 |
|
565 |
561 |
$591.47 |
| 82247 |
|
623 |
372 |
$536.25 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
291 |
260 |
$535.55 |
| 80306 |
|
456 |
432 |
$496.00 |
| 83550 |
|
482 |
451 |
$484.25 |
| 87807 |
|
332 |
325 |
$384.08 |
| 87205 |
|
767 |
640 |
$372.09 |
| 87070 |
|
264 |
232 |
$353.71 |
| 86703 |
|
197 |
189 |
$328.25 |
| 81003 |
|
1,165 |
1,090 |
$270.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
349 |
$268.03 |
| 84702 |
|
176 |
151 |
$234.37 |
| 86920 |
|
63 |
58 |
$221.03 |
| 87077 |
|
140 |
136 |
$217.77 |
| 80179 |
|
105 |
97 |
$188.95 |
| 86317 |
|
157 |
155 |
$172.32 |
| 85652 |
|
583 |
500 |
$160.36 |
| 81025 |
|
98 |
94 |
$151.78 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
27 |
$151.70 |
| 88342 |
|
63 |
37 |
$134.58 |
| 87075 |
|
56 |
48 |
$130.78 |
| 80076 |
|
175 |
134 |
$112.73 |
| 85362 |
|
128 |
124 |
$98.29 |
| 80074 |
|
16 |
15 |
$68.65 |
| 82553 |
|
17 |
12 |
$64.98 |
| 85384 |
|
45 |
29 |
$48.45 |
| 86592 |
|
78 |
76 |
$46.87 |
| 87420 |
|
140 |
137 |
$46.08 |
| 82140 |
|
23 |
14 |
$45.80 |
| 82550 |
|
21 |
12 |
$44.04 |
| 84481 |
|
21 |
15 |
$36.04 |
| 82248 |
|
80 |
65 |
$33.70 |
| 82746 |
|
24 |
24 |
$29.15 |
| 85014 |
|
75 |
37 |
$21.77 |
| 82607 |
|
27 |
27 |
$18.54 |
| 85018 |
|
56 |
25 |
$15.26 |
| 81002 |
|
84 |
82 |
$14.58 |
| 87045 |
|
15 |
15 |
$14.35 |
| 82565 |
|
36 |
25 |
$10.28 |
| 88300 |
|
25 |
13 |
$9.24 |
| 87147 |
|
15 |
12 |
$8.47 |
| 84550 |
|
15 |
15 |
$7.99 |
| 84132 |
|
20 |
15 |
$5.27 |
| 84703 |
|
45 |
44 |
$3.86 |
| 80143 |
|
108 |
99 |
$2.90 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
81 |
81 |
$0.68 |
| 82805 |
|
36 |
15 |
$0.21 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$0.03 |