| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68 |
61 |
$503.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
27 |
$495.62 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
28 |
26 |
$462.27 |
| 80061 |
Lipid panel |
31 |
30 |
$445.14 |
| 80053 |
Comprehensive metabolic panel |
35 |
33 |
$384.04 |
| 83719 |
|
30 |
30 |
$344.76 |
| 82274 |
|
12 |
12 |
$222.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$165.81 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
72 |
$165.05 |
| 81000 |
|
36 |
34 |
$123.12 |
| 82043 |
|
12 |
12 |
$80.88 |