| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27,404 |
21,756 |
$476K |
| 88307 |
|
7,172 |
6,207 |
$290K |
| 88342 |
|
7,818 |
6,623 |
$101K |
| 88304 |
|
4,730 |
4,127 |
$31K |
| 88341 |
|
394 |
271 |
$8K |
| 88112 |
|
405 |
337 |
$6K |
| 88300 |
|
599 |
556 |
$2K |
| 88141 |
|
41 |
40 |
$384.87 |
| 88302 |
|
31 |
24 |
$156.05 |
| 88311 |
|
30 |
24 |
$107.09 |
| 80076 |
|
243 |
222 |
$0.00 |
| 84439 |
|
43 |
38 |
$0.00 |
| 87328 |
|
14 |
12 |
$0.00 |
| 80061 |
Lipid panel |
88 |
84 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$0.00 |
| 81025 |
|
400 |
370 |
$0.00 |
| 87186 |
|
105 |
97 |
$0.00 |
| 84100 |
|
137 |
74 |
$0.00 |
| 83540 |
|
53 |
51 |
$0.00 |
| 86900 |
|
170 |
143 |
$0.00 |
| 86923 |
|
16 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
88 |
$0.00 |
| 84520 |
|
22 |
15 |
$0.00 |
| 80202 |
|
32 |
16 |
$0.00 |
| 82009 |
|
14 |
13 |
$0.00 |
| 85045 |
|
80 |
58 |
$0.00 |
| 84702 |
|
20 |
16 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
19 |
15 |
$0.00 |
| 82465 |
|
13 |
13 |
$0.00 |
| 82565 |
|
37 |
29 |
$0.00 |
| 84550 |
|
22 |
15 |
$0.00 |
| 80074 |
|
12 |
12 |
$0.00 |
| 84145 |
|
16 |
12 |
$0.00 |
| 82330 |
|
20 |
12 |
$0.00 |
| 85730 |
|
296 |
170 |
$0.00 |
| 86850 |
|
115 |
104 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,309 |
794 |
$0.00 |
| 86140 |
|
188 |
157 |
$0.00 |
| 87430 |
|
125 |
122 |
$0.00 |
| 83615 |
|
48 |
37 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55 |
53 |
$0.00 |
| 85018 |
|
102 |
83 |
$0.00 |
| 82803 |
|
187 |
91 |
$0.00 |
| 84484 |
|
431 |
314 |
$0.00 |
| 87077 |
|
96 |
81 |
$0.00 |
| 86880 |
|
32 |
32 |
$0.00 |
| 87807 |
|
30 |
30 |
$0.00 |
| 81001 |
|
876 |
784 |
$0.00 |
| 83690 |
|
242 |
212 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,026 |
716 |
$0.00 |
| 86901 |
|
211 |
174 |
$0.00 |
| 87040 |
|
225 |
180 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,364 |
1,434 |
$0.00 |
| 87070 |
|
99 |
67 |
$0.00 |
| 87205 |
|
99 |
70 |
$0.00 |
| 83880 |
|
192 |
152 |
$0.00 |
| 83605 |
|
191 |
165 |
$0.00 |
| 82728 |
|
48 |
46 |
$0.00 |
| 83550 |
|
52 |
50 |
$0.00 |
| 83735 |
|
429 |
226 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| 85652 |
|
84 |
71 |
$0.00 |
| 87449 |
|
34 |
29 |
$0.00 |
| 84132 |
|
20 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 85379 |
|
67 |
65 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
238 |
211 |
$0.00 |
| 82550 |
|
39 |
27 |
$0.00 |
| 82962 |
|
859 |
253 |
$0.00 |
| 85027 |
|
153 |
83 |
$0.00 |
| 87081 |
|
58 |
58 |
$0.00 |
| 82150 |
|
84 |
80 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
86 |
81 |
$0.00 |