| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
204 |
198 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
307 |
302 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
94 |
92 |
$4K |
| 80053 |
Comprehensive metabolic panel |
428 |
416 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
90 |
88 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
122 |
118 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
222 |
209 |
$2K |
| 85027 |
|
345 |
341 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
79 |
77 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
264 |
260 |
$1K |
| 80061 |
Lipid panel |
309 |
308 |
$1K |
| 87340 |
|
120 |
119 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
169 |
165 |
$1K |
| 87510 |
|
56 |
54 |
$1K |
| 87480 |
|
56 |
54 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
193 |
186 |
$889.50 |
| 86787 |
|
66 |
64 |
$835.53 |
| 86803 |
|
60 |
58 |
$782.02 |
| 87660 |
|
56 |
54 |
$714.91 |
| 83655 |
|
68 |
68 |
$596.05 |
| 84702 |
|
80 |
67 |
$592.85 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
36 |
36 |
$509.23 |
| 84439 |
|
61 |
59 |
$428.48 |
| 86762 |
|
62 |
62 |
$395.11 |
| 86592 |
|
127 |
125 |
$382.52 |
| 82105 |
|
26 |
26 |
$358.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
59 |
58 |
$356.14 |
| 87070 |
|
62 |
59 |
$337.44 |
| 87186 |
|
40 |
39 |
$326.89 |
| 82607 |
|
31 |
31 |
$302.40 |
| 82043 |
|
73 |
70 |
$256.53 |
| 86850 |
|
53 |
53 |
$231.90 |
| 82950 |
|
56 |
55 |
$201.92 |
| 86901 |
|
53 |
53 |
$194.59 |
| 86038 |
|
15 |
14 |
$191.06 |
| 82570 |
|
50 |
49 |
$189.94 |
| 87081 |
|
44 |
43 |
$188.45 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21 |
16 |
$187.76 |
| 85651 |
|
48 |
45 |
$185.97 |
| 88142 |
|
70 |
69 |
$168.83 |
| 83021 |
|
15 |
14 |
$162.90 |
| 86900 |
|
53 |
53 |
$144.95 |
| 87077 |
|
38 |
37 |
$101.25 |
| 81001 |
|
46 |
46 |
$98.58 |
| 36415 |
Collection of venous blood by venipuncture |
946 |
873 |
$91.77 |
| 85610 |
|
21 |
16 |
$62.70 |
| 85660 |
|
16 |
15 |
$62.32 |
| 85018 |
|
34 |
34 |
$58.32 |
| 85014 |
|
34 |
34 |
$58.32 |
| 81003 |
|
36 |
35 |
$57.23 |
| 86140 |
|
14 |
12 |
$52.52 |
| 86593 |
|
12 |
12 |
$36.40 |