| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
181 |
179 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
180 |
179 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
37 |
35 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
242 |
241 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
82 |
62 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
59 |
30 |
$2K |
| 80053 |
Comprehensive metabolic panel |
303 |
297 |
$2K |
| 87081 |
|
342 |
335 |
$2K |
| 80061 |
Lipid panel |
178 |
178 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
75 |
75 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
278 |
274 |
$1K |
| 87660 |
|
79 |
79 |
$1K |
| 87510 |
|
79 |
79 |
$1K |
| 87480 |
|
79 |
79 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
35 |
$1K |
| 80055 |
|
24 |
24 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
42 |
42 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
44 |
44 |
$942.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
137 |
$910.56 |
| 84702 |
|
74 |
60 |
$899.41 |
| 84439 |
|
116 |
116 |
$813.75 |
| 87481 |
|
29 |
29 |
$764.92 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
126 |
125 |
$756.00 |
| 82105 |
|
53 |
53 |
$703.00 |
| 85027 |
|
138 |
137 |
$662.07 |
| 86850 |
|
47 |
47 |
$470.25 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
15 |
15 |
$333.00 |
| 82677 |
|
17 |
17 |
$304.05 |
| 82607 |
|
28 |
28 |
$303.12 |
| 87070 |
|
45 |
45 |
$302.82 |
| 82950 |
|
79 |
79 |
$302.48 |
| 87340 |
|
35 |
35 |
$285.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
52 |
50 |
$248.15 |
| 86803 |
|
18 |
18 |
$203.32 |
| 86336 |
|
17 |
17 |
$195.90 |
| 86592 |
|
48 |
48 |
$157.08 |
| 86762 |
|
13 |
13 |
$156.78 |
| 87186 |
|
25 |
25 |
$144.80 |
| 82043 |
|
33 |
33 |
$126.10 |
| 87088 |
|
23 |
23 |
$115.26 |
| 83540 |
|
25 |
25 |
$108.40 |
| 81001 |
|
51 |
50 |
$102.91 |
| 82728 |
|
12 |
12 |
$102.69 |
| 85610 |
|
39 |
33 |
$88.83 |
| 87077 |
|
14 |
13 |
$81.24 |
| 82570 |
|
16 |
16 |
$56.29 |
| 85652 |
|
26 |
26 |
$45.20 |
| 86140 |
|
12 |
12 |
$38.97 |
| 86901 |
|
14 |
14 |
$35.00 |
| 86900 |
|
14 |
14 |
$35.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$0.00 |
| 80050 |
General health panel |
38 |
38 |
$0.00 |