| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,708 |
899 |
$4K |
| 80053 |
Comprehensive metabolic panel |
993 |
587 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
171 |
112 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
167 |
112 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
642 |
284 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
77 |
$1K |
| 84484 |
|
240 |
139 |
$782.81 |
| 81001 |
|
545 |
366 |
$603.25 |
| 83690 |
|
235 |
146 |
$540.96 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
42 |
24 |
$502.93 |
| 83735 |
|
170 |
83 |
$459.20 |
| 81025 |
|
481 |
349 |
$444.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
71 |
50 |
$230.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
29 |
$227.65 |
| 87210 |
|
96 |
74 |
$173.90 |
| 83605 |
|
18 |
12 |
$39.87 |
| 87070 |
|
23 |
14 |
$37.20 |
| 86901 |
|
26 |
15 |
$32.90 |
| 81003 |
|
25 |
25 |
$26.16 |
| 86900 |
|
26 |
15 |
$24.50 |