| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
786 |
641 |
$5K |
| 87481 |
|
747 |
626 |
$2K |
| 87563 |
|
74 |
69 |
$707.52 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
59 |
56 |
$678.05 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
57 |
56 |
$678.04 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
57 |
56 |
$678.04 |
| 87653 |
|
743 |
620 |
$481.79 |
| 87641 |
|
643 |
535 |
$422.83 |
| 87500 |
|
603 |
502 |
$378.83 |
| 87150 |
|
609 |
534 |
$58.96 |
| 81001 |
|
293 |
257 |
$36.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
83 |
62 |
$28.22 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
97 |
73 |
$24.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
104 |
$24.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
168 |
124 |
$19.59 |
| 83550 |
|
21 |
15 |
$14.31 |
| 80061 |
Lipid panel |
105 |
80 |
$13.46 |
| 82607 |
|
46 |
34 |
$12.67 |
| 80053 |
Comprehensive metabolic panel |
156 |
120 |
$11.08 |
| 83540 |
|
21 |
15 |
$10.59 |
| 84550 |
|
24 |
19 |
$3.80 |
| 87640 |
|
15 |
13 |
$0.00 |
| 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 |
115 |
104 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
108 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$0.00 |
| 84439 |
|
47 |
33 |
$0.00 |