| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
50 |
50 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,675 |
1,163 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,317 |
1,351 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
676 |
357 |
$765.91 |
| 84484 |
|
523 |
416 |
$756.78 |
| 83880 |
|
134 |
115 |
$746.04 |
| 83690 |
|
523 |
458 |
$512.01 |
| 83735 |
|
470 |
283 |
$501.07 |
| 81001 |
|
924 |
858 |
$391.07 |
| 84443 |
Thyroid stimulating hormone (TSH) |
141 |
118 |
$379.77 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
314 |
297 |
$369.88 |
| 81025 |
|
465 |
453 |
$360.73 |
| 85730 |
|
397 |
336 |
$337.47 |
| 88304 |
|
22 |
22 |
$278.87 |
| 80061 |
Lipid panel |
126 |
104 |
$276.76 |
| 83605 |
|
142 |
113 |
$247.74 |
| 85610 |
|
428 |
360 |
$238.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
143 |
129 |
$223.37 |
| 87040 |
|
150 |
131 |
$216.70 |
| 87186 |
|
99 |
80 |
$132.60 |
| 84100 |
|
136 |
55 |
$110.64 |
| 82948 |
|
238 |
72 |
$103.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
75 |
$100.53 |
| 85027 |
|
113 |
84 |
$98.96 |
| 86901 |
|
206 |
173 |
$79.28 |
| 86900 |
|
203 |
170 |
$77.92 |
| 87070 |
|
56 |
46 |
$62.87 |
| 84703 |
|
65 |
65 |
$60.52 |
| 85007 |
|
113 |
84 |
$46.23 |
| 86886 |
|
46 |
44 |
$29.22 |
| 82248 |
|
32 |
32 |
$25.48 |
| 87081 |
|
28 |
17 |
$24.99 |
| 85379 |
|
14 |
14 |
$23.45 |
| 87400 |
|
15 |
15 |
$20.64 |
| 86592 |
|
25 |
25 |
$15.93 |
| 80306 |
|
15 |
13 |
$15.00 |
| 86850 |
|
34 |
34 |
$14.99 |