| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,202 |
1,106 |
$51K |
| 80053 |
Comprehensive metabolic panel |
5,429 |
3,988 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,034 |
4,513 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,534 |
1,344 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
257 |
248 |
$9K |
| 88313 |
|
208 |
180 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,647 |
1,435 |
$9K |
| 88304 |
|
374 |
364 |
$8K |
| 88342 |
|
242 |
212 |
$8K |
| 84484 |
|
1,548 |
1,018 |
$7K |
| 87040 |
|
720 |
566 |
$7K |
| 88312 |
|
206 |
175 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,702 |
915 |
$7K |
| 83880 |
|
740 |
590 |
$6K |
| 83735 |
|
1,600 |
729 |
$5K |
| 81001 |
|
3,463 |
3,016 |
$5K |
| 83690 |
|
1,323 |
1,127 |
$4K |
| 85730 |
|
1,195 |
870 |
$4K |
| 82550 |
|
840 |
523 |
$3K |
| 85610 |
|
1,603 |
1,140 |
$3K |
| 83605 |
|
608 |
419 |
$3K |
| 82962 |
|
1,298 |
524 |
$2K |
| 87186 |
|
401 |
300 |
$2K |
| 85027 |
|
790 |
656 |
$2K |
| 80061 |
Lipid panel |
665 |
616 |
$2K |
| 82553 |
|
469 |
270 |
$2K |
| 84439 |
|
447 |
386 |
$2K |
| 85379 |
|
473 |
422 |
$2K |
| 87430 |
|
222 |
218 |
$2K |
| 86850 |
|
583 |
495 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
529 |
471 |
$2K |
| 86901 |
|
682 |
579 |
$2K |
| 87400 |
|
504 |
475 |
$2K |
| 81025 |
|
1,140 |
1,036 |
$1K |
| 84703 |
|
330 |
307 |
$1K |
| 86900 |
|
604 |
516 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
40 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
40 |
$1K |
| 87081 |
|
363 |
281 |
$997.60 |
| 87807 |
|
149 |
141 |
$705.60 |
| 82150 |
|
201 |
179 |
$644.38 |
| 87070 |
|
216 |
160 |
$589.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
12 |
$543.96 |
| 84702 |
|
66 |
59 |
$292.38 |
| 82607 |
|
45 |
41 |
$270.00 |
| 85014 |
|
209 |
162 |
$213.44 |
| 85018 |
|
194 |
149 |
$199.52 |
| 87077 |
|
40 |
25 |
$194.70 |
| 84550 |
|
75 |
58 |
$170.17 |
| 87088 |
|
28 |
27 |
$158.20 |
| 82570 |
|
53 |
41 |
$144.46 |
| 85652 |
|
81 |
73 |
$106.11 |
| 86140 |
|
37 |
30 |
$86.95 |
| 83615 |
|
21 |
18 |
$62.16 |
| 80076 |
|
15 |
13 |
$51.87 |
| 82728 |
|
14 |
14 |
$50.12 |
| 84100 |
|
19 |
13 |
$44.27 |
| 84156 |
|
31 |
16 |
$35.65 |
| 85007 |
|
20 |
18 |
$35.00 |
| 84145 |
|
369 |
203 |
$0.00 |