| Code | Description | Claims | Beneficiaries | Total Paid |
| 80503 |
|
94 |
67 |
$1K |
| 88307 |
|
35 |
25 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
47 |
42 |
$775.00 |
| 80053 |
Comprehensive metabolic panel |
1,298 |
731 |
$654.64 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
579 |
484 |
$563.12 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
172 |
105 |
$321.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
608 |
495 |
$244.58 |
| 88304 |
|
25 |
24 |
$241.39 |
| 83880 |
|
55 |
41 |
$227.64 |
| 80329 |
|
44 |
43 |
$224.17 |
| 88313 |
|
17 |
12 |
$192.28 |
| 80320 |
|
199 |
179 |
$164.64 |
| 84165 |
|
12 |
12 |
$103.33 |
| 83735 |
|
785 |
292 |
$79.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,875 |
1,186 |
$69.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
717 |
564 |
$65.52 |
| 84100 |
|
585 |
200 |
$65.50 |
| 82947 |
|
389 |
144 |
$44.00 |
| 80076 |
|
73 |
69 |
$27.09 |
| 81003 |
|
629 |
553 |
$21.06 |
| 83605 |
|
94 |
73 |
$16.00 |
| 81025 |
|
606 |
528 |
$16.00 |
| 80061 |
Lipid panel |
82 |
66 |
$14.00 |
| 85007 |
|
71 |
59 |
$13.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
349 |
$11.35 |
| 84484 |
|
491 |
362 |
$9.87 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
379 |
324 |
$8.07 |
| 85610 |
|
129 |
96 |
$8.00 |
| 82550 |
|
88 |
69 |
$7.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
64 |
$7.00 |
| 87081 |
|
84 |
64 |
$5.20 |
| 83690 |
|
415 |
352 |
$5.00 |
| 85027 |
|
107 |
90 |
$0.00 |
| 81001 |
|
530 |
452 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
101 |
76 |
$0.00 |
| 85730 |
|
91 |
63 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
81 |
66 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
95 |
79 |
$0.00 |
| 84702 |
|
37 |
35 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
12 |
$0.00 |
| 87420 |
|
49 |
27 |
$0.00 |