| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
84 |
80 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
73 |
70 |
$6K |
| 80061 |
Lipid panel |
110 |
108 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
41 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
27 |
$1K |
| 86780 |
|
32 |
29 |
$1K |
| 80050 |
General health panel |
15 |
14 |
$1K |
| 86803 |
|
26 |
25 |
$832.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
39 |
$800.66 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
36 |
$520.06 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
26 |
$464.12 |
| 85027 |
|
16 |
15 |
$258.06 |