| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
590 |
453 |
$11K |
| 88112 |
|
51 |
40 |
$673.82 |
| 88141 |
|
36 |
25 |
$498.70 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
33 |
24 |
$412.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
701 |
623 |
$3.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,410 |
1,611 |
$3.50 |
| 87077 |
|
824 |
711 |
$3.50 |
| 87186 |
|
171 |
124 |
$0.00 |
| 85610 |
|
542 |
352 |
$0.00 |
| 81025 |
|
445 |
344 |
$0.00 |
| 81003 |
|
508 |
409 |
$0.00 |
| 80061 |
Lipid panel |
29 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
659 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,484 |
681 |
$0.00 |
| 87040 |
|
350 |
247 |
$0.00 |
| 85730 |
|
241 |
176 |
$0.00 |
| 81001 |
|
1,007 |
743 |
$0.00 |
| 83690 |
|
668 |
480 |
$0.00 |
| 84703 |
|
425 |
320 |
$0.00 |
| 80320 |
|
90 |
68 |
$0.00 |
| 87088 |
|
249 |
192 |
$0.00 |
| 85027 |
|
786 |
372 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,829 |
1,288 |
$0.00 |
| 84484 |
|
687 |
448 |
$0.00 |
| 83880 |
|
110 |
53 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
189 |
144 |
$0.00 |
| 83735 |
|
177 |
105 |
$0.00 |
| 87070 |
|
18 |
12 |
$0.00 |
| 83605 |
|
325 |
227 |
$0.00 |
| 87807 |
|
57 |
54 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |