| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
429 |
425 |
$33K |
| 80061 |
Lipid panel |
1,472 |
1,467 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,442 |
1,394 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,669 |
1,593 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
902 |
894 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
50 |
50 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
76 |
76 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
354 |
354 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,005 |
1,002 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,056 |
973 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
282 |
281 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
877 |
835 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
255 |
254 |
$5K |
| 85027 |
|
761 |
748 |
$4K |
| 82607 |
|
317 |
316 |
$4K |
| 80050 |
General health panel |
237 |
237 |
$4K |
| 86803 |
|
290 |
290 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
98 |
97 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
98 |
97 |
$3K |
| 82728 |
|
252 |
249 |
$3K |
| 86141 |
|
186 |
181 |
$2K |
| 83550 |
|
265 |
262 |
$2K |
| 83540 |
|
293 |
290 |
$2K |
| 84439 |
|
180 |
179 |
$1K |
| 71250 |
|
54 |
54 |
$899.24 |
| 80076 |
|
117 |
112 |
$843.57 |
| 82570 |
|
140 |
126 |
$654.41 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
81 |
79 |
$576.72 |
| 83970 |
|
12 |
12 |
$436.80 |
| 81001 |
|
136 |
135 |
$380.80 |
| 82043 |
|
73 |
72 |
$372.30 |
| 87480 |
|
13 |
13 |
$229.84 |
| 87510 |
|
13 |
13 |
$229.84 |
| 87660 |
|
13 |
13 |
$229.84 |
| 85652 |
|
95 |
94 |
$226.10 |
| 83690 |
|
37 |
37 |
$224.96 |
| 73630 |
|
16 |
14 |
$222.36 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$204.36 |
| 82746 |
|
12 |
12 |
$155.64 |
| 86780 |
|
12 |
12 |
$140.16 |
| 83735 |
|
17 |
13 |
$100.47 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$83.36 |
| 85610 |
|
15 |
12 |
$56.70 |
| 81003 |
|
28 |
28 |
$55.44 |
| 36415 |
Collection of venous blood by venipuncture |
307 |
277 |
$35.32 |