| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
460 |
439 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
744 |
719 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
545 |
535 |
$5K |
| 80053 |
Comprehensive metabolic panel |
103 |
101 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
76 |
75 |
$811.48 |
| 87807 |
|
55 |
53 |
$752.09 |
| 81001 |
|
167 |
164 |
$599.17 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$430.98 |
| 85027 |
|
15 |
15 |
$113.16 |
| 85014 |
|
12 |
12 |
$31.80 |
| 85018 |
|
12 |
12 |
$31.80 |