| Code | Description | Claims | Beneficiaries | Total Paid |
| 81408 |
|
200 |
133 |
$344K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
551 |
539 |
$275K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,343 |
4,020 |
$107K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,344 |
4,016 |
$107K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,016 |
3,470 |
$92K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
234 |
225 |
$83K |
| 87481 |
|
6,791 |
2,348 |
$65K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,068 |
2,317 |
$59K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,389 |
3,311 |
$58K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
6,512 |
1,003 |
$47K |
| 87511 |
|
3,648 |
2,370 |
$45K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,672 |
1,562 |
$31K |
| 81405 |
|
141 |
132 |
$30K |
| 81401 |
|
201 |
134 |
$24K |
| 81361 |
|
209 |
200 |
$20K |
| 81161 |
|
136 |
133 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,320 |
1,168 |
$14K |
| 81257 |
|
209 |
200 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
484 |
457 |
$12K |
| 81400 |
|
201 |
134 |
$11K |
| 86803 |
|
1,238 |
1,166 |
$10K |
| 86780 |
|
1,025 |
966 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,488 |
1,317 |
$9K |
| 86762 |
|
804 |
749 |
$8K |
| 87340 |
|
1,328 |
1,250 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,530 |
1,330 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
892 |
834 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
147 |
100 |
$6K |
| 81243 |
|
226 |
217 |
$6K |
| 86850 |
|
922 |
854 |
$6K |
| 81255 |
|
136 |
132 |
$4K |
| 82670 |
|
157 |
146 |
$4K |
| 81329 |
|
45 |
42 |
$4K |
| 80053 |
Comprehensive metabolic panel |
736 |
671 |
$4K |
| 81251 |
|
135 |
132 |
$4K |
| 81200 |
|
134 |
131 |
$4K |
| 85027 |
|
808 |
712 |
$4K |
| 81260 |
|
135 |
132 |
$3K |
| 83001 |
|
194 |
178 |
$3K |
| 86787 |
|
369 |
334 |
$3K |
| 80061 |
Lipid panel |
262 |
258 |
$3K |
| 86592 |
|
732 |
688 |
$2K |
| 86900 |
|
874 |
807 |
$2K |
| 86901 |
|
874 |
807 |
$2K |
| 82950 |
|
601 |
524 |
$2K |
| 82105 |
|
219 |
189 |
$2K |
| 84481 |
|
137 |
116 |
$2K |
| 88141 |
|
134 |
120 |
$2K |
| 84702 |
|
153 |
120 |
$2K |
| 87081 |
|
294 |
259 |
$1K |
| 84439 |
|
207 |
176 |
$1K |
| 86696 |
|
72 |
68 |
$907.57 |
| 82570 |
|
280 |
253 |
$896.17 |
| 87186 |
|
153 |
139 |
$713.29 |
| 80050 |
General health panel |
16 |
16 |
$551.20 |
| 87077 |
|
109 |
104 |
$504.55 |
| 86376 |
|
35 |
29 |
$407.40 |
| 82947 |
|
261 |
240 |
$387.40 |
| 84403 |
|
16 |
16 |
$387.15 |
| 84270 |
|
12 |
12 |
$239.03 |
| 87625 |
|
161 |
132 |
$102.18 |
| 82728 |
|
12 |
12 |
$68.70 |
| 86705 |
|
40 |
40 |
$8.10 |
| 86709 |
|
40 |
40 |
$7.90 |
| 84436 |
|
14 |
14 |
$6.87 |
| 81422 |
|
134 |
133 |
$0.00 |