| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
4,516 |
3,804 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,779 |
4,418 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
767 |
747 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
767 |
747 |
$15K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
182 |
178 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
315 |
313 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
358 |
354 |
$12K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
247 |
243 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,216 |
1,188 |
$9K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
35 |
35 |
$9K |
| 83735 |
|
1,634 |
1,043 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,354 |
925 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,184 |
1,134 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
216 |
198 |
$5K |
| 87510 |
|
398 |
396 |
$5K |
| 87480 |
|
398 |
396 |
$5K |
| 82803 |
|
373 |
222 |
$4K |
| 87660 |
|
487 |
485 |
$4K |
| 83605 |
|
706 |
517 |
$4K |
| 87081 |
|
1,292 |
1,264 |
$3K |
| 82330 |
|
442 |
214 |
$3K |
| 80061 |
Lipid panel |
957 |
941 |
$3K |
| 87040 |
|
358 |
304 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
150 |
144 |
$3K |
| 84484 |
|
557 |
487 |
$3K |
| 88342 |
|
128 |
127 |
$3K |
| 82962 |
|
1,607 |
959 |
$3K |
| 88304 |
|
139 |
138 |
$2K |
| 87641 |
|
106 |
101 |
$2K |
| 83880 |
|
184 |
171 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
156 |
156 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
246 |
242 |
$2K |
| 87186 |
|
377 |
362 |
$2K |
| 86780 |
|
256 |
252 |
$2K |
| 86803 |
|
254 |
253 |
$2K |
| 88341 |
|
34 |
31 |
$2K |
| 85730 |
|
425 |
284 |
$2K |
| 84100 |
|
772 |
473 |
$2K |
| 83690 |
|
463 |
432 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
513 |
507 |
$1K |
| 81025 |
|
561 |
535 |
$1K |
| 86850 |
|
488 |
447 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
90 |
$1K |
| 85610 |
|
684 |
529 |
$1K |
| 86003 |
|
39 |
39 |
$1K |
| 82607 |
|
247 |
241 |
$1K |
| 84439 |
|
301 |
295 |
$1K |
| 88307 |
|
14 |
14 |
$1K |
| 86140 |
|
517 |
451 |
$1K |
| 81001 |
|
828 |
783 |
$1K |
| 80069 |
|
270 |
197 |
$1K |
| 86901 |
|
545 |
502 |
$1K |
| 84466 |
|
264 |
261 |
$1K |
| 82728 |
|
274 |
263 |
$1K |
| 87536 |
|
27 |
27 |
$1K |
| 80202 |
|
138 |
81 |
$926.28 |
| 86900 |
|
539 |
496 |
$842.69 |
| 82784 |
|
117 |
108 |
$804.61 |
| 87088 |
|
138 |
134 |
$712.58 |
| 85384 |
|
213 |
152 |
$709.14 |
| 83540 |
|
244 |
242 |
$696.05 |
| 83970 |
|
55 |
55 |
$692.42 |
| 81003 |
|
632 |
590 |
$665.85 |
| 85027 |
|
242 |
214 |
$650.24 |
| 82746 |
|
123 |
120 |
$624.76 |
| 87070 |
|
193 |
188 |
$620.30 |
| 87340 |
|
102 |
102 |
$613.78 |
| 82550 |
|
220 |
159 |
$608.67 |
| 87505 |
|
13 |
13 |
$608.02 |
| 82570 |
|
262 |
251 |
$588.57 |
| 85379 |
|
161 |
147 |
$585.04 |
| 86038 |
|
84 |
83 |
$574.97 |
| 84702 |
|
127 |
119 |
$537.19 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
58 |
58 |
$510.40 |
| 84145 |
|
27 |
26 |
$440.91 |
| 84703 |
|
121 |
113 |
$409.91 |
| 86360 |
|
31 |
31 |
$394.55 |
| 85652 |
|
323 |
310 |
$388.01 |
| 83516 |
|
65 |
62 |
$383.54 |
| 87075 |
|
49 |
49 |
$373.24 |
| 87147 |
|
226 |
217 |
$355.98 |
| 82805 |
|
13 |
13 |
$330.82 |
| 83615 |
|
116 |
90 |
$319.83 |
| 80047 |
|
76 |
38 |
$313.02 |
| 86480 |
|
16 |
16 |
$298.70 |
| 85014 |
|
226 |
160 |
$296.96 |
| 86359 |
|
29 |
29 |
$294.32 |
| 80074 |
|
15 |
15 |
$278.98 |
| 87493 |
|
12 |
12 |
$274.92 |
| 80076 |
|
77 |
68 |
$250.63 |
| 82140 |
|
53 |
39 |
$245.11 |
| 82043 |
|
131 |
131 |
$235.56 |
| 82565 |
|
103 |
69 |
$227.28 |
| 82785 |
|
45 |
45 |
$209.62 |
| 87205 |
|
114 |
109 |
$209.19 |
| 86762 |
|
46 |
46 |
$191.33 |
| 84478 |
|
98 |
82 |
$190.75 |
| 82247 |
|
74 |
33 |
$177.29 |
| 87210 |
|
43 |
43 |
$170.38 |
| 84146 |
|
28 |
28 |
$161.63 |
| 86880 |
|
46 |
44 |
$146.45 |
| 84550 |
|
73 |
65 |
$133.81 |
| 85045 |
|
115 |
99 |
$132.15 |
| 84481 |
|
29 |
28 |
$130.40 |
| 84132 |
|
51 |
39 |
$125.03 |
| 80177 |
|
29 |
26 |
$124.66 |
| 80164 |
|
30 |
28 |
$124.07 |
| 85018 |
|
106 |
93 |
$121.22 |
| 86200 |
|
24 |
24 |
$116.44 |
| 84403 |
|
12 |
12 |
$113.76 |
| 82248 |
|
74 |
63 |
$113.65 |
| 84156 |
|
97 |
93 |
$108.80 |
| 82105 |
|
13 |
12 |
$106.73 |
| 86431 |
|
31 |
31 |
$98.56 |
| 86920 |
|
16 |
15 |
$89.30 |
| 80306 |
|
13 |
13 |
$77.87 |
| 83655 |
|
13 |
13 |
$77.09 |
| 87184 |
|
16 |
16 |
$72.00 |
| 86308 |
|
29 |
28 |
$66.00 |
| 84295 |
|
20 |
12 |
$61.32 |
| 86376 |
|
14 |
14 |
$61.14 |
| 82950 |
|
26 |
26 |
$57.10 |
| 81015 |
|
44 |
40 |
$55.69 |
| 89050 |
|
16 |
15 |
$28.00 |
| 82945 |
|
15 |
14 |
$21.56 |
| 85049 |
|
14 |
13 |
$18.16 |
| 84157 |
|
16 |
15 |
$18.00 |