| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80061 |
Lipid panel |
522 |
340 |
$823.10 |
| 80050 |
General health panel |
28 |
26 |
$680.68 |
| 80053 |
Comprehensive metabolic panel |
713 |
466 |
$474.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
376 |
242 |
$364.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
794 |
507 |
$354.63 |
| 85247 |
|
114 |
43 |
$266.05 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
190 |
115 |
$240.00 |
| 84439 |
|
129 |
82 |
$147.60 |
| 82607 |
|
99 |
65 |
$92.52 |
| 84443 |
Thyroid stimulating hormone (TSH) |
442 |
287 |
$92.39 |
| 84481 |
|
59 |
31 |
$69.36 |
| 81003 |
|
284 |
190 |
$65.79 |
| 85610 |
|
116 |
45 |
$45.73 |
| 83615 |
|
47 |
26 |
$45.32 |
| 83540 |
|
87 |
51 |
$27.23 |
| 84153 |
|
38 |
18 |
$25.10 |
| 80069 |
|
66 |
46 |
$23.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
111 |
71 |
$20.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22 |
14 |
$17.31 |
| 84550 |
|
52 |
35 |
$12.32 |
| 36415 |
Collection of venous blood by venipuncture |
810 |
458 |
$0.00 |
| 82728 |
|
27 |
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 |
533 |
399 |
$0.00 |
| 82570 |
|
23 |
13 |
$0.00 |
| 83970 |
|
20 |
12 |
$0.00 |