| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
323 |
227 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
309 |
215 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
380 |
267 |
$1K |
| 87653 |
|
78 |
62 |
$885.18 |
| 86702 |
|
192 |
150 |
$827.27 |
| 86762 |
|
95 |
78 |
$694.96 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
198 |
160 |
$551.39 |
| 86701 |
|
190 |
148 |
$538.53 |
| 87341 |
|
167 |
131 |
$450.44 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
37 |
24 |
$398.96 |
| 86803 |
|
102 |
84 |
$391.74 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
48 |
36 |
$369.57 |
| 84443 |
Thyroid stimulating hormone (TSH) |
21 |
13 |
$156.33 |
| 82950 |
|
94 |
74 |
$97.25 |