| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87631 |
|
157 |
155 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
337 |
332 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
337 |
332 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
255 |
252 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
215 |
213 |
$3K |
| 87070 |
|
560 |
553 |
$3K |
| 86780 |
|
229 |
227 |
$2K |
| 86803 |
|
232 |
230 |
$2K |
| 87340 |
|
232 |
230 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
360 |
351 |
$1K |
| 87088 |
|
359 |
350 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
33 |
$723.59 |
| 87510 |
|
24 |
24 |
$255.57 |
| 87480 |
|
24 |
24 |
$255.57 |
| 86696 |
|
27 |
27 |
$232.10 |
| 80053 |
Comprehensive metabolic panel |
134 |
129 |
$215.67 |
| 87077 |
|
39 |
35 |
$211.63 |
| 87186 |
|
41 |
36 |
$188.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
78 |
77 |
$58.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$18.18 |
| 36415 |
Collection of venous blood by venipuncture |
228 |
201 |
$8.16 |