| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
728 |
714 |
$44K |
| 87490 |
|
457 |
448 |
$9K |
| 87590 |
|
395 |
385 |
$9K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
352 |
352 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
232 |
232 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
657 |
642 |
$5K |
| 80061 |
Lipid panel |
349 |
347 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
208 |
207 |
$3K |
| 88307 |
|
40 |
40 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
100 |
100 |
$3K |
| 88304 |
|
116 |
115 |
$2K |
| 88342 |
|
33 |
30 |
$1K |
| 88112 |
|
57 |
55 |
$1K |
| 80050 |
General health panel |
77 |
76 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
33 |
33 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
122 |
114 |
$886.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
85 |
$729.84 |
| 82728 |
|
53 |
53 |
$653.87 |
| 88141 |
|
27 |
27 |
$552.69 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
17 |
$544.17 |
| 84460 |
|
110 |
109 |
$522.73 |
| 87625 |
|
15 |
15 |
$480.15 |
| 84450 |
|
95 |
94 |
$442.70 |
| 81001 |
|
115 |
112 |
$315.80 |
| 86780 |
|
26 |
26 |
$301.75 |
| 80053 |
Comprehensive metabolic panel |
27 |
26 |
$260.01 |
| 86803 |
|
12 |
12 |
$151.08 |
| 83550 |
|
15 |
15 |
$119.55 |
| 82947 |
|
26 |
26 |
$91.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$89.52 |
| 83540 |
|
15 |
15 |
$88.50 |
| 85651 |
|
12 |
12 |
$45.24 |