| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
3,276 |
2,282 |
$41.44 |
| 81001 |
|
2,106 |
1,863 |
$11.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,903 |
1,413 |
$9.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,795 |
4,468 |
$8.56 |
| 87641 |
|
159 |
148 |
$5.61 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
452 |
442 |
$5.61 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
452 |
442 |
$5.61 |
| 87077 |
|
282 |
259 |
$5.34 |
| 87653 |
|
135 |
131 |
$4.94 |
| 86780 |
|
675 |
651 |
$4.24 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
422 |
419 |
$3.85 |
| 86762 |
|
100 |
100 |
$2.30 |
| 86803 |
|
369 |
366 |
$2.28 |
| 84702 |
|
780 |
692 |
$2.17 |
| 87340 |
|
255 |
255 |
$1.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,373 |
1,344 |
$1.55 |
| 80047 |
|
800 |
674 |
$1.47 |
| 86900 |
|
745 |
634 |
$1.44 |
| 86901 |
|
746 |
635 |
$1.44 |
| 87088 |
|
402 |
374 |
$1.22 |
| 80076 |
|
1,672 |
1,225 |
$1.15 |
| 86850 |
|
654 |
579 |
$1.04 |
| 85027 |
|
1,136 |
752 |
$1.03 |
| 83690 |
|
1,132 |
983 |
$0.99 |
| 87210 |
|
262 |
241 |
$0.71 |
| 85610 |
|
1,321 |
897 |
$0.62 |
| 82140 |
|
148 |
101 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
349 |
327 |
$0.00 |
| 82247 |
|
169 |
114 |
$0.00 |
| 84466 |
|
421 |
409 |
$0.00 |
| 83516 |
|
57 |
56 |
$0.00 |
| 82274 |
|
140 |
140 |
$0.00 |
| 81025 |
|
448 |
406 |
$0.00 |
| 84460 |
|
123 |
87 |
$0.00 |
| 82565 |
|
220 |
170 |
$0.00 |
| 80306 |
|
133 |
127 |
$0.00 |
| 87186 |
|
238 |
218 |
$0.00 |
| 80061 |
Lipid panel |
1,003 |
994 |
$0.00 |
| 82947 |
|
53 |
50 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
80 |
68 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
87 |
84 |
$0.00 |
| 80202 |
|
87 |
57 |
$0.00 |
| 86038 |
|
105 |
102 |
$0.00 |
| 84550 |
|
333 |
197 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
489 |
487 |
$0.00 |
| 84439 |
|
241 |
231 |
$0.00 |
| 83540 |
|
423 |
411 |
$0.00 |
| 84481 |
|
51 |
51 |
$0.00 |
| 84295 |
|
83 |
50 |
$0.00 |
| 84156 |
|
242 |
213 |
$0.00 |
| 83655 |
|
198 |
198 |
$0.00 |
| 82248 |
|
133 |
93 |
$0.00 |
| 87075 |
|
158 |
123 |
$0.00 |
| 83970 |
|
110 |
107 |
$0.00 |
| 84450 |
|
123 |
87 |
$0.00 |
| 84630 |
|
15 |
14 |
$0.00 |
| 89051 |
|
91 |
61 |
$0.00 |
| 86708 |
|
132 |
132 |
$0.00 |
| 82776 |
|
62 |
60 |
$0.00 |
| 80074 |
|
102 |
101 |
$0.00 |
| 86331 |
|
12 |
12 |
$0.00 |
| 84100 |
|
1,934 |
644 |
$0.00 |
| 84425 |
|
13 |
13 |
$0.00 |
| 85384 |
|
99 |
52 |
$0.00 |
| 84520 |
|
91 |
74 |
$0.00 |
| 82570 |
|
518 |
488 |
$0.00 |
| 85045 |
|
120 |
110 |
$0.00 |
| 87338 |
|
74 |
74 |
$0.00 |
| 86039 |
|
48 |
48 |
$0.00 |
| 82948 |
|
81 |
34 |
$0.00 |
| 86923 |
|
147 |
101 |
$0.00 |
| 84436 |
|
132 |
129 |
$0.00 |
| 84484 |
|
1,265 |
963 |
$0.00 |
| 87503 |
|
76 |
73 |
$0.00 |
| 84132 |
|
96 |
76 |
$0.00 |
| 87070 |
|
213 |
164 |
$0.00 |
| 82803 |
|
310 |
165 |
$0.00 |
| 82105 |
|
52 |
51 |
$0.00 |
| 82746 |
|
247 |
239 |
$0.00 |
| 84300 |
|
70 |
62 |
$0.00 |
| 83615 |
|
398 |
239 |
$0.00 |
| 85730 |
|
452 |
305 |
$0.00 |
| 82962 |
|
130 |
123 |
$0.00 |
| 84703 |
|
120 |
118 |
$0.00 |
| 89060 |
|
45 |
40 |
$0.00 |
| 86706 |
|
173 |
173 |
$0.00 |
| 80320 |
|
209 |
191 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
130 |
119 |
$0.00 |
| 84153 |
|
28 |
28 |
$0.00 |
| 87081 |
|
36 |
36 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 85379 |
|
194 |
162 |
$0.00 |
| 82728 |
|
412 |
398 |
$0.00 |
| 83880 |
|
695 |
483 |
$0.00 |
| 86140 |
|
367 |
298 |
$0.00 |
| 86593 |
|
77 |
73 |
$0.00 |
| 87506 |
|
84 |
78 |
$0.00 |
| 86695 |
|
39 |
39 |
$0.00 |
| 86361 |
|
221 |
219 |
$0.00 |
| 82607 |
|
454 |
446 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
45 |
43 |
$0.00 |
| 86704 |
|
133 |
133 |
$0.00 |
| 83498 |
|
62 |
60 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,245 |
1,191 |
$0.00 |
| 83735 |
|
2,331 |
738 |
$0.00 |
| 87205 |
|
246 |
187 |
$0.00 |
| 82270 |
|
61 |
59 |
$0.00 |
| 82330 |
|
49 |
41 |
$0.00 |
| 83789 |
|
62 |
60 |
$0.00 |
| 82950 |
|
95 |
95 |
$0.00 |
| 82550 |
|
160 |
114 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
262 |
260 |
$0.00 |
| 80329 |
|
43 |
40 |
$0.00 |
| 82945 |
|
18 |
14 |
$0.00 |
| 87040 |
|
384 |
308 |
$0.00 |
| 83520 |
|
55 |
53 |
$0.00 |
| 80069 |
|
144 |
75 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
64 |
63 |
$0.00 |
| 84157 |
|
21 |
17 |
$0.00 |
| 87449 |
|
16 |
16 |
$0.00 |
| 86880 |
|
28 |
25 |
$0.00 |
| 82435 |
|
30 |
28 |
$0.00 |
| 87116 |
|
15 |
13 |
$0.00 |
| 87632 |
|
72 |
70 |
$0.00 |
| 85651 |
|
324 |
291 |
$0.00 |
| 87206 |
|
13 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
517 |
511 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| 87430 |
|
32 |
32 |
$0.00 |
| 82261 |
|
58 |
56 |
$0.00 |
| 81050 |
|
13 |
13 |
$0.00 |
| 83021 |
|
58 |
56 |
$0.00 |
| 82043 |
|
236 |
233 |
$0.00 |
| 82951 |
|
15 |
14 |
$0.00 |
| 82533 |
|
68 |
62 |
$0.00 |
| 83605 |
|
587 |
408 |
$0.00 |
| 86592 |
|
138 |
132 |
$0.00 |
| 82387 |
|
15 |
13 |
$0.00 |
| 84478 |
|
27 |
12 |
$0.00 |
| 86171 |
|
12 |
12 |
$0.00 |