| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,744 |
7,060 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,941 |
4,906 |
$2K |
| 80053 |
Comprehensive metabolic panel |
5,068 |
4,216 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,858 |
2,646 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,086 |
1,045 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,024 |
2,694 |
$793.29 |
| 83880 |
|
494 |
397 |
$774.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,676 |
2,548 |
$766.51 |
| 85610 |
|
4,282 |
948 |
$755.06 |
| 87493 |
|
358 |
173 |
$727.92 |
| 82140 |
|
516 |
327 |
$619.55 |
| 80061 |
Lipid panel |
2,291 |
2,105 |
$511.97 |
| 80164 |
|
813 |
748 |
$480.77 |
| 85027 |
|
1,412 |
1,235 |
$449.95 |
| 87186 |
|
2,188 |
1,659 |
$443.20 |
| 82607 |
|
589 |
568 |
$427.29 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
249 |
242 |
$392.20 |
| 80177 |
|
530 |
473 |
$381.75 |
| 80185 |
|
399 |
269 |
$348.15 |
| 87088 |
|
1,980 |
1,554 |
$313.16 |
| 81001 |
|
3,031 |
2,701 |
$300.79 |
| 83735 |
|
1,105 |
762 |
$300.31 |
| 84134 |
|
1,047 |
962 |
$287.57 |
| 80202 |
|
242 |
71 |
$280.98 |
| 82728 |
|
286 |
250 |
$267.07 |
| 80069 |
|
753 |
493 |
$242.96 |
| 82746 |
|
232 |
218 |
$233.78 |
| 84439 |
|
388 |
364 |
$217.15 |
| 83540 |
|
364 |
319 |
$185.75 |
| 87077 |
|
338 |
216 |
$129.40 |
| 83550 |
|
249 |
219 |
$120.84 |
| 84481 |
|
135 |
128 |
$115.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
48 |
$110.48 |
| 87070 |
|
279 |
252 |
$99.30 |
| 83970 |
|
32 |
30 |
$95.12 |
| 84436 |
|
310 |
299 |
$94.92 |
| 80162 |
|
208 |
171 |
$90.27 |
| 84479 |
|
260 |
251 |
$89.40 |
| 84132 |
|
292 |
204 |
$84.80 |
| 82550 |
|
116 |
112 |
$67.50 |
| 80156 |
|
91 |
87 |
$67.12 |
| 85007 |
|
297 |
255 |
$59.40 |
| 82274 |
|
78 |
55 |
$54.99 |
| 86140 |
|
190 |
126 |
$53.05 |
| 80076 |
|
392 |
368 |
$49.34 |
| 85651 |
|
282 |
175 |
$44.58 |
| 87205 |
|
106 |
89 |
$43.79 |
| 84550 |
|
183 |
175 |
$19.82 |
| 85014 |
|
252 |
143 |
$16.38 |
| 87899 |
|
36 |
35 |
$13.81 |
| 85018 |
|
200 |
107 |
$13.65 |
| 87045 |
|
36 |
35 |
$10.88 |
| 84100 |
|
245 |
212 |
$10.86 |
| 82248 |
|
32 |
32 |
$5.43 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
24,181 |
12,250 |
$0.00 |
| 83690 |
|
12 |
12 |
$0.00 |
| 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 |
24,127 |
12,254 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| 82040 |
|
34 |
33 |
$0.00 |
| 85008 |
|
48 |
35 |
$0.00 |
| 87040 |
|
24 |
14 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
16 |
15 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
14 |
13 |
$0.00 |