| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88307 |
|
229 |
224 |
$26K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
256 |
247 |
$21K |
| 80053 |
Comprehensive metabolic panel |
488 |
260 |
$213.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
846 |
414 |
$172.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
445 |
195 |
$123.42 |
| 82803 |
|
156 |
49 |
$54.12 |
| 82962 |
|
357 |
97 |
$44.41 |
| 84702 |
|
72 |
69 |
$38.56 |
| 83690 |
|
108 |
69 |
$38.04 |
| 84484 |
|
64 |
48 |
$33.89 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
101 |
92 |
$27.81 |
| 85027 |
|
300 |
153 |
$27.02 |
| 87276 |
|
66 |
65 |
$25.17 |
| 87275 |
|
66 |
65 |
$25.17 |
| 85730 |
|
167 |
118 |
$24.80 |
| 87641 |
|
13 |
13 |
$24.52 |
| 83735 |
|
193 |
71 |
$23.29 |
| 83605 |
|
72 |
59 |
$22.41 |
| 87040 |
|
54 |
42 |
$21.66 |
| 85610 |
|
203 |
135 |
$21.64 |
| 81001 |
|
167 |
154 |
$19.62 |
| 81025 |
|
62 |
60 |
$17.50 |
| 81003 |
|
86 |
83 |
$15.65 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$11.74 |
| 86850 |
|
157 |
144 |
$9.60 |
| 84100 |
|
36 |
12 |
$6.64 |
| 86901 |
|
180 |
166 |
$6.08 |
| 86140 |
|
22 |
15 |
$3.62 |
| 86900 |
|
178 |
164 |
$2.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 87420 |
|
13 |
13 |
$0.00 |