| Code | Description | Claims | Beneficiaries | Total Paid |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
98 |
95 |
$5K |
| 80061 |
Lipid panel |
110 |
109 |
$3K |
| 82607 |
|
105 |
102 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
214 |
193 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
45 |
44 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
85 |
81 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
132 |
$2K |
| 84439 |
|
128 |
124 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
140 |
120 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
54 |
52 |
$2K |
| 80053 |
Comprehensive metabolic panel |
61 |
60 |
$1K |
| 86706 |
|
53 |
51 |
$1K |
| 86803 |
|
39 |
37 |
$956.49 |
| 86705 |
|
40 |
38 |
$849.06 |
| 87340 |
|
39 |
37 |
$728.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
70 |
68 |
$675.29 |
| 86780 |
|
14 |
12 |
$214.59 |
| 86592 |
|
27 |
26 |
$205.45 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
102 |
$177.08 |