| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
255 |
238 |
$25K |
| 88307 |
|
77 |
76 |
$8K |
| 88304 |
|
28 |
28 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
480 |
464 |
$372.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,023 |
1,451 |
$348.98 |
| 80053 |
Comprehensive metabolic panel |
1,444 |
1,098 |
$296.15 |
| 85060 |
|
16 |
13 |
$128.75 |
| 87040 |
|
260 |
216 |
$92.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
112 |
$83.90 |
| 84484 |
|
584 |
426 |
$79.20 |
| 86850 |
|
341 |
312 |
$76.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
384 |
289 |
$66.34 |
| 84443 |
Thyroid stimulating hormone (TSH) |
248 |
238 |
$64.67 |
| 83735 |
|
1,287 |
433 |
$57.38 |
| 86901 |
|
405 |
372 |
$47.98 |
| 80069 |
|
1,522 |
439 |
$45.96 |
| 87077 |
|
31 |
29 |
$45.07 |
| 83690 |
|
353 |
317 |
$44.53 |
| 85730 |
|
524 |
351 |
$43.13 |
| 84703 |
|
375 |
354 |
$43.05 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
100 |
94 |
$39.35 |
| 83605 |
|
306 |
191 |
$36.99 |
| 85610 |
|
554 |
382 |
$33.74 |
| 81001 |
|
603 |
557 |
$30.36 |
| 85027 |
|
287 |
120 |
$28.18 |
| 86140 |
|
119 |
103 |
$25.07 |
| 86900 |
|
405 |
372 |
$20.50 |
| 82550 |
|
111 |
80 |
$19.44 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
81 |
79 |
$18.51 |
| 87070 |
|
32 |
27 |
$12.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
104 |
$6.79 |
| 85652 |
|
13 |
12 |
$1.89 |
| 86780 |
|
30 |
30 |
$1.80 |
| 83880 |
|
72 |
60 |
$0.00 |
| 80320 |
|
12 |
12 |
$0.00 |
| 80050 |
General health panel |
70 |
68 |
$0.00 |
| 80061 |
Lipid panel |
51 |
51 |
$0.00 |