| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
554 |
550 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
40 |
$467.20 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40 |
40 |
$381.56 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
59 |
59 |
$281.67 |
| 81000 |
|
721 |
668 |
$131.97 |
| 85027 |
|
2,272 |
1,578 |
$81.92 |
| 81003 |
|
225 |
200 |
$17.13 |
| 84484 |
|
192 |
160 |
$6.69 |
| 84443 |
Thyroid stimulating hormone (TSH) |
50 |
44 |
$2.92 |
| 87400 |
|
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
93 |
78 |
$0.00 |
| 83735 |
|
58 |
27 |
$0.00 |
| 83605 |
|
32 |
27 |
$0.00 |