| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83655 |
|
214 |
199 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
24 |
$777.27 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
50 |
44 |
$375.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
36 |
$261.87 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
50 |
44 |
$251.90 |
| 80053 |
Comprehensive metabolic panel |
49 |
46 |
$141.98 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
54 |
45 |
$121.75 |
| 80061 |
Lipid panel |
93 |
87 |
$54.72 |
| 82728 |
|
18 |
18 |
$35.46 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
15 |
$28.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
17 |
$20.82 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
46 |
40 |
$15.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
57 |
$9.48 |
| 86592 |
|
14 |
13 |
$0.00 |