| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,239 |
1,138 |
$46K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,238 |
1,136 |
$46K |
| 80053 |
Comprehensive metabolic panel |
4,160 |
3,552 |
$33K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,695 |
2,392 |
$33K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
972 |
928 |
$28K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
465 |
436 |
$28K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,429 |
1,201 |
$23K |
| 80061 |
Lipid panel |
2,668 |
2,342 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,361 |
3,358 |
$22K |
| 87480 |
|
740 |
668 |
$16K |
| 87510 |
|
724 |
659 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,982 |
1,763 |
$15K |
| 80050 |
General health panel |
443 |
420 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
10,966 |
7,198 |
$14K |
| 87660 |
|
681 |
615 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,974 |
1,449 |
$11K |
| 84439 |
|
1,422 |
1,202 |
$10K |
| 83520 |
|
239 |
196 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,591 |
1,373 |
$9K |
| 80306 |
|
1,564 |
452 |
$9K |
| 87581 |
|
237 |
226 |
$8K |
| 85027 |
|
2,014 |
1,653 |
$8K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
247 |
237 |
$8K |
| 87653 |
|
184 |
182 |
$8K |
| 87081 |
|
1,220 |
1,159 |
$7K |
| 86780 |
|
456 |
418 |
$7K |
| 85610 |
|
2,872 |
1,388 |
$6K |
| 87186 |
|
796 |
695 |
$6K |
| 82607 |
|
577 |
497 |
$6K |
| 83970 |
|
246 |
221 |
$6K |
| 86140 |
|
1,057 |
908 |
$4K |
| 82728 |
|
563 |
496 |
$4K |
| 86038 |
|
350 |
335 |
$4K |
| 86803 |
|
297 |
278 |
$4K |
| 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 |
2,533 |
1,605 |
$4K |
| 87340 |
|
352 |
322 |
$4K |
| 86003 |
|
134 |
82 |
$4K |
| 87070 |
|
506 |
451 |
$4K |
| 83735 |
|
632 |
479 |
$3K |
| 82570 |
|
839 |
762 |
$3K |
| 83550 |
|
484 |
414 |
$3K |
| 80069 |
|
443 |
391 |
$2K |
| 83540 |
|
589 |
506 |
$2K |
| 80076 |
|
350 |
259 |
$2K |
| 84153 |
|
145 |
131 |
$2K |
| 82746 |
|
230 |
199 |
$2K |
| 85651 |
|
701 |
542 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
86 |
$2K |
| 86738 |
|
146 |
127 |
$2K |
| 82043 |
|
456 |
421 |
$2K |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
2,129 |
1,334 |
$2K |
| 86704 |
|
131 |
121 |
$1K |
| 81001 |
|
757 |
613 |
$1K |
| 86706 |
|
141 |
132 |
$1K |
| 84702 |
|
183 |
149 |
$1K |
| 82565 |
|
539 |
397 |
$1K |
| 83655 |
|
100 |
96 |
$1K |
| 84460 |
|
343 |
314 |
$1K |
| 80164 |
|
184 |
150 |
$1K |
| 87205 |
|
310 |
267 |
$1K |
| 84450 |
|
257 |
242 |
$914.49 |
| 84156 |
|
419 |
376 |
$886.72 |
| 85018 |
|
644 |
504 |
$812.17 |
| 82785 |
|
76 |
57 |
$751.07 |
| 86762 |
|
103 |
92 |
$743.69 |
| 87147 |
|
213 |
191 |
$740.96 |
| 86376 |
|
68 |
64 |
$720.35 |
| 84100 |
|
246 |
130 |
$706.26 |
| 87088 |
|
78 |
78 |
$704.05 |
| 84403 |
|
31 |
26 |
$670.67 |
| 84146 |
|
36 |
31 |
$639.24 |
| 82274 |
|
47 |
46 |
$631.15 |
| 82947 |
|
258 |
191 |
$608.01 |
| 81015 |
|
227 |
211 |
$589.04 |
| 86850 |
|
117 |
101 |
$572.52 |
| 84550 |
|
180 |
160 |
$553.79 |
| 81003 |
|
347 |
318 |
$522.71 |
| 80074 |
|
12 |
12 |
$503.35 |
| 83690 |
|
108 |
83 |
$500.78 |
| 86901 |
|
124 |
109 |
$490.24 |
| 85014 |
|
375 |
322 |
$488.90 |
| 87493 |
|
14 |
13 |
$393.24 |
| 85055 |
|
35 |
25 |
$388.06 |
| 82105 |
|
25 |
25 |
$375.56 |
| 86900 |
|
120 |
104 |
$351.29 |
| 82950 |
|
88 |
83 |
$338.18 |
| 87077 |
|
189 |
157 |
$329.08 |
| 84132 |
|
201 |
131 |
$298.14 |
| 84478 |
|
155 |
122 |
$254.93 |
| 87075 |
|
47 |
40 |
$248.43 |
| 83718 |
|
140 |
117 |
$247.95 |
| 36416 |
|
77 |
68 |
$200.73 |
| 84238 |
|
14 |
12 |
$196.94 |
| 86431 |
|
26 |
26 |
$178.00 |
| 82465 |
|
138 |
115 |
$161.76 |
| 82040 |
|
44 |
43 |
$148.02 |
| 84520 |
|
160 |
85 |
$130.60 |
| 85049 |
|
67 |
40 |
$107.24 |
| 82977 |
|
18 |
16 |
$72.72 |
| 84436 |
|
13 |
13 |
$70.03 |
| 80178 |
|
14 |
12 |
$67.96 |
| 82310 |
|
55 |
28 |
$52.11 |
| 85048 |
|
61 |
37 |
$36.42 |