| Code | Description | Claims | Beneficiaries | Total Paid |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,104 |
1,981 |
$290.56 |
| 80053 |
Comprehensive metabolic panel |
337 |
329 |
$211.47 |
| 83721 |
|
254 |
254 |
$100.74 |
| 87186 |
|
844 |
809 |
$95.03 |
| 36415 |
Collection of venous blood by venipuncture |
200 |
189 |
$91.44 |
| 87077 |
|
844 |
809 |
$69.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
254 |
239 |
$46.51 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
94 |
91 |
$30.32 |
| 83718 |
|
76 |
76 |
$8.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
14 |
$7.69 |
| 84478 |
|
65 |
65 |
$5.63 |
| 82043 |
|
24 |
24 |
$5.08 |
| 82570 |
|
12 |
12 |
$4.60 |
| 81001 |
|
14 |
14 |
$3.11 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$0.00 |