| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33 |
33 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
26 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$1K |
| 86780 |
|
40 |
40 |
$951.87 |
| 80061 |
Lipid panel |
25 |
25 |
$749.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$701.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
24 |
$631.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$535.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$195.84 |