| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
82 |
82 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
141 |
117 |
$1K |
| 87581 |
|
96 |
95 |
$1K |
| 80074 |
|
66 |
66 |
$554.87 |
| 86592 |
|
63 |
63 |
$444.18 |
| 87631 |
|
194 |
192 |
$425.05 |
| 87486 |
|
96 |
95 |
$371.81 |
| 82746 |
|
30 |
30 |
$289.91 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$268.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
88 |
$263.18 |
| 80053 |
Comprehensive metabolic panel |
74 |
74 |
$179.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
74 |
74 |
$165.32 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$148.06 |
| 80076 |
|
12 |
12 |
$108.31 |
| 84153 |
|
27 |
27 |
$78.20 |
| 80061 |
Lipid panel |
52 |
52 |
$66.33 |
| 81002 |
|
40 |
40 |
$46.46 |
| 84443 |
Thyroid stimulating hormone (TSH) |
63 |
63 |
$38.66 |
| 82043 |
|
35 |
35 |
$32.62 |
| 84481 |
|
18 |
18 |
$30.68 |
| 82607 |
|
32 |
32 |
$12.00 |
| 82728 |
|
27 |
27 |
$10.86 |
| 84466 |
|
22 |
22 |
$9.91 |
| 83540 |
|
24 |
24 |
$5.15 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
87 |
85 |
$0.00 |
| 83935 |
|
64 |
64 |
$0.00 |
| 84436 |
|
13 |
13 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| 86140 |
|
14 |
14 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
60 |
60 |
$0.00 |
| 84480 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
47 |
$0.00 |
| 99000 |
|
39 |
39 |
$0.00 |
| 86063 |
|
13 |
13 |
$0.00 |
| 84479 |
|
13 |
13 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 87481 |
|
30 |
30 |
$0.00 |
| 87653 |
|
30 |
30 |
$0.00 |
| 84550 |
|
20 |
20 |
$0.00 |
| 84439 |
|
18 |
18 |
$0.00 |