| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83655 |
|
243 |
242 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
55 |
46 |
$799.21 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
53 |
45 |
$677.84 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
21 |
21 |
$630.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
29 |
$189.63 |
| 80053 |
Comprehensive metabolic panel |
53 |
44 |
$186.02 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
36 |
$82.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73 |
64 |
$55.39 |
| 82728 |
|
18 |
18 |
$35.46 |
| 80061 |
Lipid panel |
68 |
68 |
$34.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$28.90 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26 |
26 |
$15.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$13.88 |