| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,280 |
883 |
$1K |
| 80053 |
Comprehensive metabolic panel |
938 |
708 |
$970.14 |
| 83690 |
|
501 |
462 |
$542.47 |
| 84484 |
|
238 |
202 |
$263.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
201 |
$170.36 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
186 |
138 |
$115.26 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
157 |
151 |
$97.29 |
| 86710 |
|
78 |
77 |
$75.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
65 |
$63.27 |
| 81001 |
|
208 |
197 |
$55.93 |
| 83735 |
|
33 |
12 |
$33.32 |
| 85610 |
|
104 |
89 |
$33.17 |
| 85027 |
|
18 |
12 |
$16.95 |
| 81003 |
|
77 |
74 |
$13.26 |
| 85730 |
|
14 |
12 |
$11.77 |
| 87807 |
|
29 |
29 |
$8.50 |