| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
33 |
31 |
$3K |
| 87490 |
|
78 |
78 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
90 |
90 |
$2K |
| 87590 |
|
74 |
74 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
41 |
41 |
$1K |
| 86481 |
|
14 |
14 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
125 |
$986.48 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
37 |
37 |
$935.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
92 |
92 |
$866.41 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$834.97 |
| 80061 |
Lipid panel |
128 |
128 |
$759.15 |
| 80053 |
Comprehensive metabolic panel |
100 |
99 |
$754.23 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$680.03 |
| 85027 |
|
102 |
102 |
$628.02 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
63 |
63 |
$554.82 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
97 |
93 |
$535.89 |
| 86803 |
|
39 |
39 |
$518.89 |
| 80050 |
General health panel |
26 |
26 |
$484.38 |
| 86780 |
|
23 |
23 |
$340.24 |
| 87480 |
|
14 |
14 |
$315.87 |
| 87077 |
|
34 |
26 |
$314.90 |
| 82728 |
|
19 |
19 |
$284.79 |
| 87340 |
|
20 |
20 |
$229.12 |
| 87088 |
|
23 |
22 |
$208.36 |
| 86706 |
|
16 |
16 |
$182.29 |
| 83550 |
|
19 |
19 |
$179.28 |
| 87808 |
|
13 |
13 |
$167.19 |
| 82570 |
|
29 |
29 |
$166.83 |
| 83540 |
|
22 |
22 |
$157.23 |
| 81001 |
|
42 |
42 |
$145.87 |
| 87186 |
|
15 |
15 |
$143.73 |
| 82043 |
|
15 |
15 |
$91.63 |
| 85651 |
|
18 |
18 |
$71.44 |
| 85610 |
|
12 |
12 |
$52.05 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
59 |
$4.32 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
25 |
19 |
$0.95 |