| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
41 |
18 |
$446.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$258.91 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$213.80 |
| 73564 |
|
12 |
12 |
$130.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
70 |
$112.54 |
| 80053 |
Comprehensive metabolic panel |
54 |
52 |
$76.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$67.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
14 |
$25.49 |
| 81001 |
|
14 |
14 |
$11.30 |
| 80061 |
Lipid panel |
16 |
16 |
$0.03 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
67 |
$0.00 |