| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
669 |
626 |
$16K |
| 88304 |
|
42 |
38 |
$772.12 |
| 80053 |
Comprehensive metabolic panel |
60 |
56 |
$308.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$297.35 |
| 85060 |
|
54 |
50 |
$175.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
55 |
50 |
$160.72 |
| 88312 |
|
15 |
13 |
$141.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$117.75 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$106.73 |
| 81001 |
|
17 |
16 |
$22.88 |