| Code | Description | Claims | Bene. Records | Total Paid |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
391 |
222 |
$56K |
| 87481 |
|
188 |
143 |
$14K |
| 80061 |
Lipid panel |
777 |
764 |
$9K |
| 87631 |
|
71 |
70 |
$9K |
| 80050 |
General health panel |
227 |
227 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
281 |
276 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
525 |
515 |
$4K |
| 87640 |
|
136 |
134 |
$4K |
| 87653 |
|
120 |
118 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
390 |
380 |
$3K |
| 80053 |
Comprehensive metabolic panel |
467 |
457 |
$3K |
| 87641 |
|
93 |
92 |
$2K |
| 87500 |
|
93 |
92 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
504 |
488 |
$2K |
| 87541 |
|
71 |
70 |
$2K |
| 86803 |
|
153 |
145 |
$2K |
| 87486 |
|
58 |
57 |
$2K |
| 84439 |
|
243 |
240 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
222 |
222 |
$2K |
| 87581 |
|
52 |
51 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
46 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
45 |
$1K |
| 84153 |
|
77 |
77 |
$1K |
| 82043 |
|
234 |
230 |
$1K |
| 82570 |
|
245 |
240 |
$1K |
| 87563 |
|
32 |
30 |
$947.43 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
36 |
$912.34 |
| 82607 |
|
78 |
76 |
$859.56 |
| 82728 |
|
64 |
62 |
$708.76 |
| 84466 |
|
66 |
64 |
$689.04 |
| 84460 |
|
122 |
122 |
$588.30 |
| 88142 |
|
43 |
42 |
$586.80 |
| 81001 |
|
248 |
245 |
$576.94 |
| 87625 |
|
13 |
13 |
$446.05 |
| 83001 |
|
25 |
25 |
$371.60 |
| 83540 |
|
66 |
65 |
$349.38 |
| 84550 |
|
96 |
94 |
$289.28 |
| 84403 |
|
18 |
18 |
$283.91 |
| 84481 |
|
26 |
25 |
$254.10 |
| 82746 |
|
26 |
26 |
$249.90 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$240.80 |
| 85027 |
|
37 |
37 |
$232.92 |
| 84436 |
|
31 |
30 |
$192.36 |
| 83090 |
|
14 |
14 |
$143.36 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19 |
18 |
$112.98 |
| 80076 |
|
18 |
18 |
$81.70 |
| 83735 |
|
16 |
16 |
$67.00 |
| 81000 |
|
12 |
12 |
$48.24 |
| 86140 |
|
18 |
18 |
$46.62 |
| 82977 |
|
13 |
13 |
$43.20 |
| 36415 |
Collection of venous blood by venipuncture |
406 |
391 |
$0.00 |