| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80050 |
General health panel |
113 |
112 |
$129.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,516 |
3,158 |
$101.81 |
| 80053 |
Comprehensive metabolic panel |
2,175 |
1,630 |
$43.03 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
48 |
48 |
$31.37 |
| 84703 |
|
381 |
354 |
$19.15 |
| 85027 |
|
605 |
394 |
$8.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
461 |
282 |
$6.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
60 |
$6.29 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$5.00 |
| 81001 |
|
717 |
652 |
$3.36 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
12 |
$2.70 |
| 84436 |
|
28 |
27 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
70 |
70 |
$0.00 |
| 84479 |
|
27 |
26 |
$0.00 |
| 83605 |
|
53 |
43 |
$0.00 |
| 83880 |
|
72 |
54 |
$0.00 |
| 86901 |
|
158 |
146 |
$0.00 |
| 86850 |
|
114 |
105 |
$0.00 |
| 86803 |
|
19 |
19 |
$0.00 |
| 85730 |
|
117 |
97 |
$0.00 |
| 87081 |
|
26 |
25 |
$0.00 |
| 87536 |
|
12 |
12 |
$0.00 |
| 85652 |
|
22 |
17 |
$0.00 |
| 87040 |
|
71 |
65 |
$0.00 |
| 87147 |
|
15 |
14 |
$0.00 |
| 82550 |
|
153 |
117 |
$0.00 |
| 87205 |
|
29 |
27 |
$0.00 |
| 84484 |
|
135 |
99 |
$0.00 |
| 86140 |
|
56 |
44 |
$0.00 |
| 82746 |
|
16 |
16 |
$0.00 |
| 82728 |
|
31 |
30 |
$0.00 |
| 83690 |
|
106 |
91 |
$0.00 |
| 83615 |
|
12 |
12 |
$0.00 |
| 82607 |
|
18 |
16 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
136 |
127 |
$0.00 |
| 87077 |
|
19 |
16 |
$0.00 |
| 80329 |
|
109 |
55 |
$0.00 |
| 86920 |
|
28 |
19 |
$0.00 |
| 86762 |
|
17 |
17 |
$0.00 |
| 87340 |
|
38 |
38 |
$0.00 |
| 86704 |
|
14 |
14 |
$0.00 |
| 83735 |
|
191 |
80 |
$0.00 |
| 87088 |
|
24 |
22 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
18 |
17 |
$0.00 |
| 86592 |
|
131 |
129 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
117 |
$0.00 |
| 82150 |
|
16 |
13 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 86880 |
|
22 |
22 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
29 |
$0.00 |
| 82962 |
|
20 |
20 |
$0.00 |
| 80320 |
|
72 |
69 |
$0.00 |
| 82950 |
|
17 |
17 |
$0.00 |
| 87070 |
|
15 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
28 |
28 |
$0.00 |
| 82803 |
|
50 |
33 |
$0.00 |
| 83550 |
|
18 |
18 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
79 |
76 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| 85379 |
|
54 |
49 |
$0.00 |
| 85660 |
|
12 |
12 |
$0.00 |
| 85018 |
|
37 |
27 |
$0.00 |
| 82553 |
|
104 |
86 |
$0.00 |
| 84480 |
|
14 |
13 |
$0.00 |
| 80076 |
|
27 |
26 |
$0.00 |
| 84550 |
|
19 |
18 |
$0.00 |
| 80074 |
|
19 |
19 |
$0.00 |
| 86360 |
|
12 |
12 |
$0.00 |
| 84145 |
|
40 |
32 |
$0.00 |
| 81025 |
|
69 |
65 |
$0.00 |
| 80061 |
Lipid panel |
202 |
200 |
$0.00 |
| 86900 |
|
158 |
146 |
$0.00 |
| 83540 |
|
31 |
31 |
$0.00 |
| 85007 |
|
40 |
22 |
$0.00 |
| 84156 |
|
24 |
21 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
32 |
$0.00 |
| 85610 |
|
161 |
114 |
$0.00 |
| 81003 |
|
129 |
123 |
$0.00 |
| 82570 |
|
22 |
20 |
$0.00 |
| 82565 |
|
23 |
20 |
$0.00 |
| 84100 |
|
83 |
33 |
$0.00 |
| 82247 |
|
34 |
27 |
$0.00 |
| 84702 |
|
24 |
21 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
157 |
152 |
$0.00 |
| 84439 |
|
76 |
76 |
$0.00 |
| 84450 |
|
13 |
13 |
$0.00 |
| 80202 |
|
32 |
13 |
$0.00 |
| 85014 |
|
37 |
27 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
28 |
28 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 87186 |
|
26 |
24 |
$0.00 |
| 84481 |
|
16 |
16 |
$0.00 |
| 84030 |
|
23 |
20 |
$0.00 |
| 84460 |
|
18 |
18 |
$0.00 |
| 87210 |
|
15 |
15 |
$0.00 |
| 82977 |
|
17 |
17 |
$0.00 |