| Code | Description | Claims | Beneficiaries | Total Paid |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,063 |
3,475 |
$685K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,289 |
5,694 |
$330K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,744 |
8,734 |
$214K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,512 |
8,644 |
$210K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,687 |
6,104 |
$175K |
| 80053 |
Comprehensive metabolic panel |
34,781 |
21,859 |
$173K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,221 |
25,251 |
$117K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25,572 |
14,199 |
$102K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
4,064 |
3,481 |
$91K |
| 87486 |
|
4,019 |
3,464 |
$90K |
| 87581 |
|
4,019 |
3,464 |
$90K |
| 83735 |
|
23,130 |
7,696 |
$84K |
| 85027 |
|
26,416 |
15,673 |
$75K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,015 |
6,489 |
$56K |
| 84484 |
|
11,961 |
8,554 |
$51K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,057 |
1,974 |
$45K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,300 |
6,217 |
$37K |
| 87040 |
|
3,566 |
2,306 |
$36K |
| 86335 |
|
2,742 |
1,273 |
$34K |
| 86780 |
|
3,849 |
3,416 |
$33K |
| 84100 |
|
18,742 |
5,245 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,164 |
9,585 |
$30K |
| 83605 |
|
5,435 |
3,504 |
$30K |
| 87536 |
|
705 |
615 |
$29K |
| 83880 |
|
3,481 |
2,800 |
$27K |
| 85730 |
|
7,536 |
4,235 |
$26K |
| 82803 |
|
2,778 |
2,441 |
$25K |
| 87186 |
|
3,503 |
2,719 |
$25K |
| 80061 |
Lipid panel |
10,357 |
9,686 |
$22K |
| 83690 |
|
6,567 |
5,555 |
$22K |
| 81001 |
|
15,938 |
13,858 |
$22K |
| 83655 |
|
3,460 |
3,389 |
$20K |
| 85610 |
|
10,256 |
5,827 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,488 |
1,372 |
$20K |
| 86850 |
|
6,422 |
5,246 |
$18K |
| 86901 |
|
7,610 |
6,294 |
$18K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
879 |
692 |
$17K |
| 87340 |
|
2,654 |
2,413 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,422 |
3,179 |
$17K |
| 86480 |
|
667 |
620 |
$17K |
| 81025 |
|
11,483 |
10,050 |
$16K |
| 87507 |
|
155 |
135 |
$13K |
| 86900 |
|
7,718 |
6,329 |
$13K |
| 80074 |
|
644 |
577 |
$11K |
| 87070 |
|
4,059 |
3,400 |
$11K |
| 87205 |
|
5,128 |
4,265 |
$11K |
| 84702 |
|
2,379 |
1,849 |
$10K |
| 82607 |
|
1,686 |
1,511 |
$10K |
| 85007 |
|
6,017 |
3,428 |
$10K |
| 84439 |
|
2,206 |
2,076 |
$9K |
| 86592 |
|
4,162 |
3,685 |
$8K |
| 87529 |
|
343 |
224 |
$8K |
| 80076 |
|
2,179 |
1,909 |
$7K |
| 82728 |
|
2,130 |
1,524 |
$7K |
| 87081 |
|
2,913 |
2,493 |
$7K |
| 87077 |
|
1,873 |
1,414 |
$7K |
| 86706 |
|
1,027 |
975 |
$7K |
| 87210 |
|
3,134 |
2,906 |
$7K |
| 82330 |
|
757 |
557 |
$7K |
| 85379 |
|
1,784 |
1,279 |
$7K |
| 86803 |
|
793 |
719 |
$7K |
| 82746 |
|
1,142 |
1,022 |
$6K |
| 80202 |
|
910 |
480 |
$6K |
| 86140 |
|
2,656 |
1,973 |
$6K |
| 86762 |
|
1,509 |
1,358 |
$6K |
| 83615 |
|
2,844 |
1,890 |
$6K |
| 85018 |
|
5,740 |
4,542 |
$6K |
| 85014 |
|
5,284 |
4,641 |
$5K |
| 83520 |
|
859 |
715 |
$5K |
| 86920 |
|
1,169 |
802 |
$5K |
| 87147 |
|
2,219 |
1,799 |
$5K |
| 82261 |
|
639 |
535 |
$5K |
| 85651 |
|
2,021 |
1,829 |
$5K |
| 82570 |
|
2,063 |
1,656 |
$4K |
| 88307 |
|
171 |
149 |
$4K |
| 82550 |
|
1,959 |
1,114 |
$4K |
| 87449 |
|
462 |
367 |
$4K |
| 83550 |
|
1,112 |
1,009 |
$4K |
| 82043 |
|
2,074 |
1,987 |
$4K |
| 83540 |
|
1,299 |
1,170 |
$4K |
| 86003 |
|
359 |
340 |
$4K |
| 87517 |
|
146 |
136 |
$4K |
| 86162 |
|
443 |
170 |
$4K |
| 81511 |
|
119 |
117 |
$4K |
| 86360 |
|
677 |
608 |
$4K |
| 84481 |
|
673 |
619 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
412 |
398 |
$3K |
| 86615 |
|
571 |
465 |
$3K |
| 86038 |
|
404 |
388 |
$3K |
| 81003 |
|
2,886 |
2,682 |
$3K |
| 82554 |
|
946 |
457 |
$3K |
| 82274 |
|
570 |
564 |
$3K |
| 83021 |
|
468 |
424 |
$3K |
| 86359 |
|
677 |
608 |
$3K |
| 82105 |
|
350 |
325 |
$3K |
| 84030 |
|
1,124 |
817 |
$3K |
| 87075 |
|
485 |
355 |
$3K |
| 83498 |
|
651 |
546 |
$3K |
| 84153 |
|
394 |
380 |
$2K |
| 82985 |
|
394 |
311 |
$2K |
| 82247 |
|
1,230 |
545 |
$2K |
| 82950 |
|
1,042 |
959 |
$2K |
| 85060 |
|
340 |
165 |
$2K |
| 84480 |
|
502 |
469 |
$2K |
| 83020 |
|
573 |
467 |
$2K |
| 84133 |
|
1,006 |
735 |
$2K |
| 84300 |
|
843 |
629 |
$2K |
| 85097 |
|
79 |
45 |
$2K |
| 84156 |
|
1,601 |
1,284 |
$2K |
| 84132 |
|
980 |
787 |
$2K |
| 80164 |
|
366 |
279 |
$2K |
| 82232 |
|
347 |
142 |
$2K |
| 82016 |
|
632 |
529 |
$1K |
| 84550 |
|
1,140 |
925 |
$1K |
| 82436 |
|
587 |
444 |
$1K |
| 82760 |
|
635 |
531 |
$1K |
| 82248 |
|
1,021 |
658 |
$1K |
| 84146 |
|
197 |
171 |
$1K |
| 83516 |
|
294 |
194 |
$1K |
| 86682 |
|
230 |
108 |
$1K |
| 87521 |
Neg quan hep c or qual rna |
56 |
41 |
$1K |
| 80185 |
|
180 |
122 |
$1K |
| 82384 |
|
155 |
102 |
$1K |
| 85046 |
|
450 |
366 |
$1K |
| 83970 |
|
72 |
62 |
$1K |
| 82945 |
|
570 |
478 |
$985.60 |
| 80050 |
General health panel |
2,039 |
1,911 |
$970.80 |
| 82140 |
|
259 |
170 |
$970.18 |
| 84436 |
|
303 |
292 |
$918.69 |
| 85810 |
|
319 |
187 |
$900.30 |
| 87400 |
|
157 |
156 |
$886.60 |
| 84295 |
|
467 |
380 |
$745.58 |
| 86658 |
|
82 |
49 |
$647.92 |
| 86880 |
|
188 |
172 |
$626.40 |
| 85305 |
|
102 |
44 |
$622.60 |
| 82565 |
|
322 |
272 |
$606.03 |
| 88312 |
|
116 |
90 |
$595.90 |
| 84540 |
|
329 |
268 |
$581.43 |
| 82948 |
|
435 |
358 |
$565.77 |
| 82947 |
|
331 |
309 |
$545.69 |
| 83921 |
|
83 |
65 |
$528.90 |
| 87106 |
|
370 |
305 |
$497.50 |
| 84485 |
|
194 |
94 |
$496.80 |
| 87496 |
|
24 |
18 |
$480.90 |
| 86753 |
|
33 |
23 |
$452.50 |
| 83930 |
|
188 |
122 |
$428.72 |
| 87185 |
|
139 |
104 |
$424.85 |
| 83915 |
|
148 |
116 |
$421.75 |
| 87522 |
Neg quan hep c or qual rna |
15 |
14 |
$419.25 |
| 82270 |
|
352 |
236 |
$411.29 |
| 82951 |
|
65 |
65 |
$409.50 |
| 86001 |
|
80 |
53 |
$394.40 |
| 86000 |
|
90 |
67 |
$340.40 |
| 82540 |
|
178 |
131 |
$330.75 |
| 84145 |
|
1,745 |
1,331 |
$325.29 |
| 83883 |
|
65 |
62 |
$318.42 |
| 86431 |
|
82 |
77 |
$296.84 |
| 87150 |
|
108 |
86 |
$295.75 |
| 84520 |
|
301 |
252 |
$292.31 |
| 87350 |
|
38 |
37 |
$285.76 |
| 85384 |
|
95 |
53 |
$268.26 |
| 84460 |
|
190 |
155 |
$266.82 |
| 82131 |
|
41 |
31 |
$236.38 |
| 87338 |
|
25 |
24 |
$235.00 |
| 84450 |
|
157 |
124 |
$230.97 |
| 83519 |
|
44 |
42 |
$224.40 |
| 84403 |
|
14 |
12 |
$214.88 |
| 85245 |
|
44 |
36 |
$194.03 |
| 82747 |
|
27 |
25 |
$172.64 |
| 82150 |
|
50 |
40 |
$172.26 |
| 82952 |
|
152 |
134 |
$162.35 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
13 |
13 |
$156.08 |
| 83935 |
|
62 |
51 |
$142.13 |
| 82943 |
|
33 |
30 |
$115.39 |
| 82271 |
|
95 |
47 |
$109.54 |
| 82552 |
|
16 |
12 |
$103.25 |
| 82272 |
|
104 |
81 |
$101.96 |
| 86593 |
|
50 |
44 |
$98.00 |
| 86735 |
|
12 |
12 |
$82.55 |
| 84560 |
|
63 |
42 |
$80.59 |
| 84466 |
|
18 |
15 |
$74.63 |
| 82378 |
|
12 |
12 |
$73.81 |
| 86200 |
|
14 |
13 |
$70.46 |
| 85041 |
|
184 |
173 |
$68.42 |
| 82784 |
|
14 |
12 |
$63.56 |
| 85555 |
|
23 |
12 |
$53.59 |
| 85576 |
|
18 |
14 |
$52.90 |
| 86765 |
|
12 |
12 |
$49.20 |
| 87169 |
|
22 |
16 |
$47.85 |
| 84703 |
|
14 |
14 |
$46.54 |
| 80299 |
|
54 |
53 |
$46.50 |
| 84478 |
|
36 |
17 |
$45.90 |
| 82009 |
|
38 |
24 |
$36.18 |
| 87149 |
|
63 |
41 |
$0.00 |