| Code | Description | Claims | Beneficiaries | Total Paid |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,977 |
1,897 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,970 |
1,892 |
$65K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,117 |
2,017 |
$58K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
681 |
650 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,544 |
1,433 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,513 |
1,358 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
439 |
420 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
76 |
76 |
$1K |
| 80061 |
Lipid panel |
180 |
178 |
$736.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
97 |
$380.61 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
260 |
244 |
$347.55 |
| 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 |
258 |
161 |
$255.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
271 |
231 |
$244.39 |
| 87625 |
|
12 |
12 |
$91.96 |
| 81001 |
|
219 |
205 |
$52.25 |
| 87077 |
|
27 |
27 |
$40.47 |
| 85027 |
|
12 |
12 |
$26.85 |
| 36415 |
Collection of venous blood by venipuncture |
1,585 |
1,188 |
$6.07 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
467 |
304 |
$1.70 |
| 86769 |
|
21 |
21 |
$0.00 |