| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87480 |
|
98 |
98 |
$291.61 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,214 |
4,098 |
$171.48 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12,764 |
5,711 |
$144.87 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,628 |
1,609 |
$121.79 |
| 82728 |
|
1,729 |
1,643 |
$108.97 |
| 80053 |
Comprehensive metabolic panel |
14,405 |
10,299 |
$69.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,083 |
18,567 |
$65.29 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,841 |
2,804 |
$23.50 |
| 87077 |
|
1,502 |
1,362 |
$16.07 |
| 83880 |
|
2,451 |
1,793 |
$6.03 |
| 84436 |
|
505 |
472 |
$4.16 |
| 87040 |
|
1,734 |
1,346 |
$3.60 |
| 84484 |
|
4,535 |
3,310 |
$3.38 |
| 81001 |
|
9,753 |
8,536 |
$2.20 |
| 83605 |
|
2,353 |
1,577 |
$1.88 |
| 87186 |
|
1,321 |
1,174 |
$1.51 |
| 80047 |
|
3,478 |
2,931 |
$1.47 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
614 |
572 |
$1.43 |
| 83690 |
|
4,162 |
3,472 |
$1.22 |
| 83735 |
|
8,464 |
2,700 |
$1.20 |
| 82550 |
|
562 |
394 |
$1.16 |
| 80076 |
|
5,344 |
4,144 |
$1.15 |
| 87081 |
|
453 |
442 |
$1.14 |
| 85730 |
|
1,849 |
1,237 |
$1.08 |
| 83615 |
|
1,396 |
864 |
$1.08 |
| 86850 |
|
2,710 |
2,368 |
$0.99 |
| 85610 |
|
5,622 |
3,827 |
$0.70 |
| 86901 |
|
3,192 |
2,643 |
$0.44 |
| 86900 |
|
3,183 |
2,635 |
$0.43 |
| 81025 |
|
2,030 |
1,848 |
$0.00 |
| 83655 |
|
986 |
970 |
$0.00 |
| 89051 |
|
297 |
223 |
$0.00 |
| 84156 |
|
916 |
782 |
$0.00 |
| 82248 |
|
884 |
577 |
$0.00 |
| 83540 |
|
1,870 |
1,817 |
$0.00 |
| 82247 |
|
1,309 |
722 |
$0.00 |
| 87653 |
|
760 |
683 |
$0.00 |
| 84520 |
|
456 |
395 |
$0.00 |
| 84460 |
|
577 |
400 |
$0.00 |
| 84100 |
|
6,627 |
2,355 |
$0.00 |
| 82274 |
|
891 |
880 |
$0.00 |
| 80074 |
|
548 |
529 |
$0.00 |
| 80061 |
Lipid panel |
4,560 |
4,483 |
$0.00 |
| 87641 |
|
822 |
750 |
$0.00 |
| 86003 |
|
12 |
12 |
$0.00 |
| 84450 |
|
575 |
399 |
$0.00 |
| 84439 |
|
1,051 |
974 |
$0.00 |
| 87210 |
|
1,216 |
1,122 |
$0.00 |
| 82947 |
|
353 |
233 |
$0.00 |
| 82565 |
|
1,245 |
881 |
$0.00 |
| 80202 |
|
376 |
238 |
$0.00 |
| 84481 |
|
163 |
158 |
$0.00 |
| 84550 |
|
1,198 |
748 |
$0.00 |
| 82140 |
|
774 |
458 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,673 |
1,543 |
$0.00 |
| 83516 |
|
779 |
761 |
$0.00 |
| 82776 |
|
777 |
757 |
$0.00 |
| 85045 |
|
345 |
302 |
$0.00 |
| 80306 |
|
524 |
470 |
$0.00 |
| 86480 |
|
72 |
72 |
$0.00 |
| 86923 |
|
676 |
451 |
$0.00 |
| 86708 |
|
390 |
386 |
$0.00 |
| 84702 |
|
2,829 |
2,506 |
$0.00 |
| 87075 |
|
741 |
596 |
$0.00 |
| 82570 |
|
2,269 |
2,139 |
$0.00 |
| 84466 |
|
1,847 |
1,794 |
$0.00 |
| 81003 |
|
73 |
66 |
$0.00 |
| 87481 |
|
592 |
287 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,265 |
1,179 |
$0.00 |
| 83970 |
|
566 |
554 |
$0.00 |
| 87338 |
|
336 |
334 |
$0.00 |
| 85384 |
|
241 |
132 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
450 |
390 |
$0.00 |
| 86038 |
|
442 |
430 |
$0.00 |
| 86331 |
|
63 |
58 |
$0.00 |
| 87660 |
|
98 |
98 |
$0.00 |
| 87102 |
|
88 |
76 |
$0.00 |
| 84295 |
|
587 |
274 |
$0.00 |
| 86039 |
|
78 |
74 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$0.00 |
| 82977 |
|
39 |
37 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,215 |
4,098 |
$0.00 |
| 84132 |
|
778 |
455 |
$0.00 |
| 86704 |
|
391 |
389 |
$0.00 |
| 82533 |
|
254 |
232 |
$0.00 |
| 86635 |
|
168 |
160 |
$0.00 |
| 83520 |
|
223 |
217 |
$0.00 |
| 84703 |
|
636 |
615 |
$0.00 |
| 87340 |
|
1,235 |
1,222 |
$0.00 |
| 86171 |
|
63 |
58 |
$0.00 |
| 81050 |
|
86 |
86 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
179 |
176 |
$0.00 |
| 87506 |
|
293 |
285 |
$0.00 |
| 87205 |
|
1,267 |
992 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,229 |
6,094 |
$0.00 |
| 82962 |
|
952 |
696 |
$0.00 |
| 86803 |
|
802 |
796 |
$0.00 |
| 83789 |
|
776 |
756 |
$0.00 |
| 86706 |
|
536 |
531 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,163 |
2,137 |
$0.00 |
| 89060 |
|
55 |
53 |
$0.00 |
| 87070 |
|
1,079 |
853 |
$0.00 |
| 86361 |
|
1,280 |
1,261 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
282 |
273 |
$0.00 |
| 82261 |
|
778 |
761 |
$0.00 |
| 82607 |
|
1,563 |
1,535 |
$0.00 |
| 86762 |
|
556 |
552 |
$0.00 |
| 86592 |
|
671 |
637 |
$0.00 |
| 82950 |
|
461 |
456 |
$0.00 |
| 80320 |
|
697 |
639 |
$0.00 |
| 80069 |
|
846 |
435 |
$0.00 |
| 86880 |
|
270 |
244 |
$0.00 |
| 87449 |
|
65 |
63 |
$0.00 |
| 87206 |
|
33 |
26 |
$0.00 |
| 85027 |
|
5,755 |
3,723 |
$0.00 |
| 80329 |
|
254 |
243 |
$0.00 |
| 82746 |
|
856 |
845 |
$0.00 |
| 87088 |
|
2,234 |
2,043 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,355 |
1,328 |
$0.00 |
| 86140 |
|
1,592 |
1,303 |
$0.00 |
| 82803 |
|
1,958 |
906 |
$0.00 |
| 84300 |
|
237 |
211 |
$0.00 |
| 86593 |
|
310 |
291 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,049 |
5,768 |
$0.00 |
| 82330 |
|
461 |
247 |
$0.00 |
| 86695 |
|
134 |
132 |
$0.00 |
| 83498 |
|
780 |
759 |
$0.00 |
| 82435 |
|
210 |
123 |
$0.00 |
| 87510 |
|
98 |
98 |
$0.00 |
| 86780 |
|
3,332 |
3,210 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,043 |
2,026 |
$0.00 |
| 85379 |
|
607 |
473 |
$0.00 |
| 83021 |
|
777 |
759 |
$0.00 |
| 85651 |
|
1,207 |
1,122 |
$0.00 |
| 82952 |
|
29 |
29 |
$0.00 |
| 84134 |
|
154 |
72 |
$0.00 |
| 82043 |
|
1,198 |
1,191 |
$0.00 |
| 82951 |
|
33 |
33 |
$0.00 |
| 87503 |
|
1,002 |
940 |
$0.00 |
| 82270 |
|
42 |
41 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
299 |
287 |
$0.00 |
| 84153 |
|
27 |
27 |
$0.00 |
| 87632 |
|
465 |
439 |
$0.00 |
| 87116 |
|
33 |
26 |
$0.00 |
| 87581 |
|
167 |
159 |
$0.00 |
| 83935 |
|
16 |
15 |
$0.00 |
| 82105 |
|
256 |
245 |
$0.00 |
| 87430 |
|
171 |
170 |
$0.00 |
| 82387 |
|
86 |
80 |
$0.00 |
| 84157 |
|
16 |
14 |
$0.00 |
| 82945 |
|
16 |
14 |
$0.00 |
| 86141 |
|
16 |
13 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$0.00 |
| 82150 |
|
14 |
12 |
$0.00 |