| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30 |
28 |
$116.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
81 |
$88.88 |
| 80061 |
Lipid panel |
55 |
53 |
$84.11 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
37 |
$62.93 |
| 80053 |
Comprehensive metabolic panel |
64 |
60 |
$56.50 |
| 84481 |
|
12 |
12 |
$18.12 |
| 86140 |
|
13 |
12 |
$15.72 |
| 83735 |
|
19 |
17 |
$7.16 |
| 83540 |
|
20 |
18 |
$6.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$5.19 |
| 84436 |
|
17 |
15 |
$3.67 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$0.00 |