| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
4,037 |
3,206 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,582 |
3,863 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
704 |
650 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
707 |
650 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
319 |
293 |
$15K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
351 |
331 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
176 |
141 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
427 |
353 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,204 |
1,126 |
$10K |
| 87641 |
|
335 |
256 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,586 |
1,394 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,571 |
889 |
$7K |
| 87510 |
|
581 |
534 |
$7K |
| 87480 |
|
580 |
534 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
588 |
294 |
$7K |
| 87040 |
|
512 |
318 |
$5K |
| 82803 |
|
510 |
197 |
$5K |
| 87660 |
|
584 |
536 |
$5K |
| 87581 |
|
178 |
140 |
$5K |
| 88307 |
|
201 |
200 |
$4K |
| 87486 |
|
177 |
139 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
186 |
144 |
$4K |
| 83605 |
|
806 |
458 |
$4K |
| 83735 |
|
1,080 |
603 |
$4K |
| 87081 |
|
1,216 |
1,125 |
$4K |
| 85610 |
|
1,230 |
737 |
$3K |
| 86780 |
|
292 |
258 |
$3K |
| 82962 |
|
2,292 |
731 |
$3K |
| 82330 |
|
331 |
139 |
$3K |
| 87186 |
|
477 |
382 |
$3K |
| 84484 |
|
561 |
432 |
$3K |
| 88304 |
|
130 |
128 |
$2K |
| 85730 |
|
550 |
294 |
$2K |
| 80061 |
Lipid panel |
708 |
686 |
$2K |
| 84439 |
|
439 |
417 |
$2K |
| 87077 |
|
298 |
220 |
$2K |
| 86850 |
|
582 |
473 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
187 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
528 |
486 |
$2K |
| 86901 |
|
618 |
499 |
$2K |
| 83690 |
|
467 |
420 |
$2K |
| 83970 |
|
101 |
87 |
$2K |
| 80069 |
|
378 |
212 |
$2K |
| 86803 |
|
146 |
137 |
$1K |
| 81001 |
|
1,105 |
948 |
$1K |
| 87088 |
|
266 |
230 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
71 |
70 |
$1K |
| 87340 |
|
158 |
143 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
282 |
270 |
$1K |
| 86900 |
|
609 |
490 |
$1K |
| 86140 |
|
449 |
341 |
$1K |
| 83880 |
|
146 |
117 |
$1K |
| 87147 |
|
586 |
490 |
$1K |
| 85384 |
|
336 |
197 |
$1K |
| 87070 |
|
310 |
234 |
$970.38 |
| 81025 |
|
749 |
652 |
$960.89 |
| 87493 |
|
42 |
32 |
$955.36 |
| 86920 |
|
190 |
139 |
$949.76 |
| 86038 |
|
103 |
83 |
$943.83 |
| 88341 |
|
30 |
28 |
$893.22 |
| 80202 |
|
112 |
56 |
$864.19 |
| 82607 |
|
129 |
101 |
$809.00 |
| 82570 |
|
337 |
297 |
$783.70 |
| 87807 |
|
153 |
98 |
$774.95 |
| 84466 |
|
164 |
143 |
$723.40 |
| 84702 |
|
163 |
142 |
$715.06 |
| 84100 |
|
387 |
220 |
$714.80 |
| 82951 |
|
96 |
86 |
$620.54 |
| 82784 |
|
94 |
66 |
$620.25 |
| 85014 |
|
504 |
272 |
$613.16 |
| 81003 |
|
580 |
499 |
$607.23 |
| 82550 |
|
203 |
114 |
$583.28 |
| 86762 |
|
120 |
102 |
$576.65 |
| 85027 |
|
202 |
160 |
$558.28 |
| 85379 |
|
143 |
122 |
$555.01 |
| 85652 |
|
320 |
292 |
$537.59 |
| 88342 |
|
79 |
78 |
$529.10 |
| 83516 |
|
85 |
48 |
$528.33 |
| 82728 |
|
143 |
138 |
$526.33 |
| 83540 |
|
135 |
125 |
$476.52 |
| 80076 |
|
128 |
90 |
$476.47 |
| 87075 |
|
70 |
58 |
$447.30 |
| 83615 |
|
163 |
111 |
$430.70 |
| 88112 |
|
16 |
12 |
$408.48 |
| 83655 |
|
69 |
63 |
$405.65 |
| 82746 |
|
64 |
46 |
$390.85 |
| 87205 |
|
176 |
136 |
$374.23 |
| 82043 |
|
192 |
179 |
$370.08 |
| 82947 |
|
184 |
88 |
$364.87 |
| 84550 |
|
153 |
111 |
$328.52 |
| 85018 |
|
305 |
217 |
$305.37 |
| 82565 |
|
126 |
78 |
$292.56 |
| 84295 |
|
195 |
95 |
$276.69 |
| 84132 |
|
212 |
106 |
$248.49 |
| 80074 |
|
17 |
16 |
$208.28 |
| 84146 |
|
31 |
29 |
$206.57 |
| 86431 |
|
49 |
37 |
$181.42 |
| 84156 |
|
157 |
141 |
$174.02 |
| 84480 |
|
41 |
39 |
$165.37 |
| 88141 |
|
46 |
46 |
$160.01 |
| 82274 |
|
31 |
31 |
$152.66 |
| 86003 |
|
23 |
17 |
$143.35 |
| 82248 |
|
76 |
58 |
$141.41 |
| 86696 |
|
14 |
12 |
$140.86 |
| 84478 |
|
65 |
32 |
$136.81 |
| 80164 |
|
24 |
15 |
$119.21 |
| 86695 |
|
14 |
12 |
$106.68 |
| 84481 |
|
18 |
18 |
$91.08 |
| 82805 |
|
16 |
13 |
$86.59 |
| 82140 |
|
21 |
12 |
$86.07 |
| 86706 |
|
12 |
12 |
$83.43 |
| 85045 |
|
68 |
50 |
$72.96 |
| 82785 |
|
19 |
17 |
$67.42 |
| 81015 |
|
60 |
55 |
$65.50 |
| 84703 |
|
18 |
14 |
$64.44 |
| 85347 |
|
19 |
14 |
$37.60 |
| 82272 |
|
37 |
29 |
$37.35 |
| 85049 |
|
32 |
26 |
$31.21 |