| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
268 |
253 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
353 |
304 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
95 |
94 |
$787.42 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
73 |
68 |
$388.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
81 |
59 |
$327.76 |
| 80061 |
Lipid panel |
77 |
77 |
$233.56 |
| 83735 |
|
68 |
49 |
$226.32 |
| 87186 |
|
36 |
31 |
$180.80 |
| 84484 |
|
44 |
40 |
$166.95 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
24 |
18 |
$158.20 |
| 87081 |
|
54 |
48 |
$156.60 |
| 83690 |
|
45 |
40 |
$151.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
44 |
$133.00 |
| 81001 |
|
76 |
69 |
$110.11 |
| 85610 |
|
40 |
35 |
$76.40 |
| 84439 |
|
16 |
16 |
$70.88 |
| 82962 |
|
65 |
31 |
$64.73 |
| 87088 |
|
12 |
12 |
$64.70 |
| 81003 |
|
43 |
40 |
$47.96 |
| 85027 |
|
16 |
14 |
$45.92 |
| 86850 |
|
14 |
12 |
$39.48 |
| 86901 |
|
16 |
14 |
$37.60 |
| 86900 |
|
16 |
14 |
$28.00 |
| 87077 |
|
36 |
31 |
$26.55 |
| 85652 |
|
17 |
14 |
$22.27 |