| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
3,091 |
2,120 |
$16K |
| 87631 |
|
781 |
748 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,775 |
2,175 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
576 |
487 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,824 |
760 |
$8K |
| 83735 |
|
1,877 |
710 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
336 |
312 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
633 |
570 |
$5K |
| 85027 |
|
1,552 |
831 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
241 |
230 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
241 |
230 |
$4K |
| 87040 |
|
327 |
226 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
155 |
152 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
288 |
266 |
$3K |
| 80061 |
Lipid panel |
667 |
613 |
$2K |
| 83880 |
|
189 |
159 |
$2K |
| 83605 |
|
416 |
229 |
$2K |
| 36512 |
|
28 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
604 |
537 |
$2K |
| 83690 |
|
569 |
501 |
$2K |
| 80076 |
|
533 |
193 |
$2K |
| 84100 |
|
879 |
284 |
$2K |
| 86850 |
|
497 |
391 |
$1K |
| 86901 |
|
551 |
441 |
$1K |
| 87653 |
|
71 |
69 |
$1K |
| 86803 |
|
145 |
135 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
81 |
77 |
$1K |
| 85610 |
|
562 |
256 |
$1K |
| 81003 |
|
942 |
862 |
$1K |
| 86900 |
|
550 |
440 |
$955.50 |
| 82607 |
|
160 |
144 |
$949.27 |
| 84484 |
|
189 |
118 |
$860.20 |
| 84702 |
|
186 |
149 |
$830.00 |
| 87340 |
|
120 |
111 |
$810.00 |
| 85730 |
|
259 |
150 |
$761.60 |
| 87641 |
|
39 |
27 |
$702.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
107 |
101 |
$567.00 |
| 84403 |
|
45 |
42 |
$566.00 |
| 81001 |
|
394 |
367 |
$559.13 |
| 82746 |
|
88 |
79 |
$501.79 |
| 86787 |
|
65 |
61 |
$487.50 |
| 82570 |
|
202 |
179 |
$470.66 |
| 82728 |
|
112 |
98 |
$458.57 |
| 85379 |
|
118 |
105 |
$433.25 |
| 86592 |
|
193 |
181 |
$386.00 |
| 84466 |
|
81 |
71 |
$352.44 |
| 83001 |
|
39 |
38 |
$351.71 |
| 81015 |
|
253 |
239 |
$340.60 |
| 82550 |
|
114 |
80 |
$333.20 |
| 83540 |
|
99 |
88 |
$315.85 |
| 86140 |
|
133 |
118 |
$312.55 |
| 86762 |
|
67 |
63 |
$289.29 |
| 83655 |
|
48 |
48 |
$279.06 |
| 85014 |
|
224 |
141 |
$271.44 |
| 85018 |
|
223 |
142 |
$269.12 |
| 87205 |
|
140 |
117 |
$250.25 |
| 82043 |
|
125 |
113 |
$244.28 |
| 85651 |
|
86 |
73 |
$200.10 |
| 87070 |
|
62 |
47 |
$192.20 |
| 86038 |
|
20 |
16 |
$158.00 |
| 82950 |
|
65 |
65 |
$151.45 |
| 84439 |
|
30 |
27 |
$130.10 |
| 86593 |
|
57 |
56 |
$116.00 |
| 82140 |
|
26 |
20 |
$113.62 |
| 85652 |
|
79 |
71 |
$103.49 |
| 84153 |
|
14 |
14 |
$99.00 |
| 84146 |
|
13 |
13 |
$84.43 |
| 84156 |
|
60 |
53 |
$67.85 |
| 80320 |
|
20 |
20 |
$0.00 |