| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,959 |
6,134 |
$314K |
| 80053 |
Comprehensive metabolic panel |
60,657 |
40,245 |
$304K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,661 |
7,351 |
$205K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61,651 |
40,920 |
$176K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,758 |
5,384 |
$127K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,304 |
11,275 |
$106K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22,662 |
14,689 |
$90K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,933 |
9,369 |
$78K |
| 80074 |
|
3,875 |
3,211 |
$67K |
| 84703 |
|
18,757 |
16,711 |
$66K |
| 83735 |
|
18,846 |
9,273 |
$63K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,729 |
1,572 |
$58K |
| 84484 |
|
12,748 |
8,658 |
$50K |
| 83690 |
|
11,502 |
9,588 |
$38K |
| 80061 |
Lipid panel |
12,735 |
10,798 |
$34K |
| 83880 |
|
3,616 |
2,808 |
$33K |
| 87280 |
|
4,152 |
3,889 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,294 |
1,179 |
$28K |
| 85730 |
|
8,613 |
6,415 |
$27K |
| 81001 |
|
20,377 |
18,311 |
$27K |
| 86141 |
|
3,136 |
2,590 |
$26K |
| 82805 |
|
1,700 |
723 |
$26K |
| 86901 |
|
10,521 |
9,018 |
$24K |
| 86850 |
|
7,462 |
6,036 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,412 |
2,917 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,160 |
5,863 |
$21K |
| 88307 |
|
467 |
427 |
$21K |
| 85610 |
|
10,578 |
7,484 |
$20K |
| 83605 |
|
3,734 |
2,361 |
$18K |
| 86900 |
|
10,276 |
8,843 |
$18K |
| 87040 |
|
2,306 |
1,254 |
$18K |
| 82553 |
|
3,980 |
2,677 |
$15K |
| 88304 |
|
784 |
738 |
$14K |
| 86592 |
|
7,018 |
6,070 |
$14K |
| 84439 |
|
3,118 |
2,792 |
$14K |
| 84100 |
|
8,189 |
2,845 |
$13K |
| 81000 |
|
9,252 |
7,606 |
$12K |
| 85379 |
|
3,229 |
2,439 |
$12K |
| 82607 |
|
2,065 |
1,775 |
$12K |
| 82550 |
|
5,295 |
3,634 |
$12K |
| 87088 |
|
2,120 |
1,803 |
$11K |
| 85018 |
|
9,012 |
8,193 |
$10K |
| 83519 |
|
1,495 |
941 |
$10K |
| 85014 |
|
8,417 |
7,799 |
$10K |
| 82728 |
|
2,610 |
2,147 |
$9K |
| 82248 |
|
4,380 |
2,479 |
$9K |
| 82746 |
|
1,439 |
1,252 |
$8K |
| 80202 |
|
1,014 |
462 |
$7K |
| 83874 |
|
1,190 |
720 |
$7K |
| 82247 |
|
4,116 |
2,045 |
$7K |
| 87590 |
|
503 |
470 |
$6K |
| 82140 |
|
1,607 |
766 |
$6K |
| 87490 |
|
480 |
448 |
$6K |
| 80164 |
|
1,306 |
991 |
$6K |
| 81003 |
|
5,958 |
5,460 |
$6K |
| 80055 |
|
358 |
344 |
$6K |
| 85651 |
|
2,378 |
2,037 |
$5K |
| 84030 |
|
2,036 |
1,889 |
$5K |
| 87070 |
|
1,755 |
1,524 |
$5K |
| 80076 |
|
1,616 |
1,375 |
$5K |
| 82570 |
|
2,250 |
1,753 |
$5K |
| 82948 |
|
2,974 |
1,479 |
$5K |
| 84702 |
|
1,188 |
991 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
862 |
684 |
$5K |
| 81025 |
|
2,549 |
2,120 |
$4K |
| 87186 |
|
677 |
498 |
$4K |
| 87210 |
|
1,685 |
1,601 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
39 |
37 |
$3K |
| 88312 |
|
214 |
197 |
$3K |
| 86880 |
|
1,157 |
1,126 |
$3K |
| 82803 |
|
422 |
225 |
$3K |
| 86003 |
|
1,807 |
220 |
$3K |
| 80069 |
|
719 |
394 |
$3K |
| 80185 |
|
394 |
271 |
$2K |
| 83615 |
|
1,128 |
821 |
$2K |
| 84550 |
|
1,505 |
1,108 |
$2K |
| 84153 |
|
327 |
265 |
$2K |
| 86140 |
|
824 |
572 |
$2K |
| 83655 |
|
279 |
265 |
$2K |
| 86920 |
|
645 |
363 |
$2K |
| 82040 |
|
762 |
215 |
$2K |
| 86480 |
|
58 |
55 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
35 |
18 |
$1K |
| 85044 |
|
759 |
562 |
$1K |
| 82009 |
|
1,237 |
800 |
$1K |
| 87641 |
|
56 |
53 |
$1K |
| 87077 |
|
1,114 |
886 |
$1K |
| 83540 |
|
343 |
302 |
$1K |
| 82043 |
|
576 |
528 |
$1K |
| 82150 |
|
340 |
261 |
$1K |
| 84480 |
|
229 |
183 |
$1K |
| 86703 |
|
108 |
98 |
$990.31 |
| 88342 |
|
157 |
157 |
$869.43 |
| 82947 |
|
455 |
430 |
$765.06 |
| 87205 |
|
436 |
297 |
$758.95 |
| 86606 |
|
140 |
120 |
$714.00 |
| 86803 |
|
93 |
89 |
$623.10 |
| 85660 |
|
250 |
239 |
$582.50 |
| 87081 |
|
195 |
144 |
$559.89 |
| 87420 |
|
68 |
68 |
$533.80 |
| 83970 |
|
34 |
31 |
$531.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
61 |
$476.05 |
| 87449 |
|
58 |
55 |
$462.56 |
| 82378 |
|
56 |
54 |
$348.93 |
| 85008 |
|
2,840 |
1,877 |
$345.24 |
| 84156 |
|
242 |
177 |
$275.49 |
| 83550 |
|
61 |
56 |
$263.40 |
| 87075 |
|
44 |
26 |
$262.80 |
| 84132 |
|
190 |
117 |
$262.10 |
| 88313 |
|
13 |
13 |
$245.80 |
| 80320 |
|
4,634 |
4,124 |
$225.00 |
| 86706 |
|
34 |
33 |
$217.00 |
| 84999 |
|
100 |
74 |
$192.00 |
| 80178 |
|
62 |
43 |
$180.88 |
| 87340 |
|
28 |
25 |
$178.17 |
| 84479 |
|
93 |
75 |
$160.84 |
| 85385 |
|
55 |
50 |
$145.47 |
| 82652 |
|
20 |
14 |
$144.66 |
| 88311 |
|
26 |
25 |
$126.50 |
| 86765 |
|
31 |
30 |
$118.90 |
| 86787 |
|
16 |
14 |
$105.00 |
| 84436 |
|
27 |
25 |
$77.62 |
| 85007 |
|
38 |
24 |
$66.54 |
| 80047 |
|
12 |
12 |
$41.40 |
| 85384 |
|
15 |
14 |
$39.45 |
| 84478 |
|
19 |
14 |
$31.50 |
| 84300 |
|
14 |
12 |
$29.68 |
| 82270 |
|
14 |
14 |
$17.36 |
| 80329 |
|
12 |
12 |
$0.00 |