| Code | Description | Claims | Bene. Records | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
974 |
825 |
$26K |
| 88304 |
|
166 |
161 |
$4K |
| 80053 |
Comprehensive metabolic panel |
76 |
72 |
$771.54 |
| 88342 |
|
93 |
69 |
$608.11 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
34 |
$278.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
93 |
83 |
$266.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26 |
17 |
$99.03 |
| 80061 |
Lipid panel |
23 |
23 |
$71.53 |
| 83735 |
|
17 |
14 |
$55.58 |
| 83690 |
|
16 |
15 |
$53.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$53.55 |
| 81001 |
|
25 |
20 |
$34.71 |
| 81003 |
|
13 |
13 |
$14.17 |