| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 84443 |
Thyroid stimulating hormone (TSH) |
5,707 |
4,957 |
$68K |
| 80053 |
Comprehensive metabolic panel |
10,694 |
8,473 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,212 |
8,218 |
$58K |
| 80061 |
Lipid panel |
5,818 |
5,070 |
$57K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,697 |
5,807 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
27,848 |
16,843 |
$39K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,671 |
5,008 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,583 |
1,383 |
$30K |
| 82607 |
|
2,076 |
1,841 |
$23K |
| 85027 |
|
6,052 |
4,547 |
$22K |
| 82652 |
|
1,248 |
925 |
$20K |
| 80164 |
|
1,702 |
1,465 |
$17K |
| 82947 |
|
6,357 |
5,179 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,200 |
1,834 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
762 |
637 |
$10K |
| 83735 |
|
1,679 |
1,287 |
$7K |
| 87186 |
|
1,738 |
1,194 |
$7K |
| 86803 |
|
830 |
670 |
$5K |
| 81001 |
|
2,816 |
2,341 |
$5K |
| 82140 |
|
501 |
343 |
$5K |
| 87077 |
|
1,248 |
850 |
$4K |
| 85610 |
|
2,280 |
544 |
$4K |
| 83880 |
|
178 |
141 |
$2K |
| 82728 |
|
296 |
220 |
$1K |
| 86140 |
|
322 |
214 |
$827.03 |
| 84439 |
|
92 |
87 |
$626.84 |
| 84153 |
|
63 |
50 |
$626.36 |
| 84466 |
|
89 |
74 |
$608.13 |
| 83540 |
|
175 |
146 |
$510.26 |
| 83970 |
|
15 |
14 |
$462.40 |
| 80177 |
|
54 |
42 |
$457.31 |
| 85379 |
|
139 |
92 |
$431.37 |
| 87340 |
|
198 |
179 |
$391.74 |
| 86706 |
|
228 |
213 |
$336.81 |
| 80076 |
|
61 |
51 |
$331.89 |
| 84134 |
|
15 |
13 |
$126.24 |
| 82746 |
|
23 |
15 |
$111.70 |
| 85652 |
|
61 |
36 |
$106.16 |
| 87088 |
|
15 |
15 |
$82.15 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
2,089 |
1,360 |
$63.98 |
| 84550 |
|
27 |
24 |
$51.31 |
| 85018 |
|
224 |
192 |
$26.10 |
| 80178 |
|
19 |
14 |
$8.24 |
| 85014 |
|
17 |
12 |
$2.93 |
| 84460 |
|
21 |
19 |
$0.00 |
| 1100 |
|
35 |
33 |
$0.00 |
| 84479 |
|
24 |
15 |
$0.00 |