| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
57 |
57 |
$3K |
| 82607 |
|
41 |
41 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
62 |
$961.17 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$787.84 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$787.84 |
| 80061 |
Lipid panel |
27 |
27 |
$776.86 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$733.51 |
| 82746 |
|
38 |
38 |
$707.24 |
| 86803 |
|
24 |
24 |
$633.84 |
| 84439 |
|
38 |
38 |
$567.76 |
| 86706 |
|
27 |
27 |
$545.56 |
| 86705 |
|
24 |
24 |
$543.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
43 |
$501.24 |
| 87340 |
|
24 |
24 |
$476.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$281.20 |
| 86592 |
|
25 |
25 |
$206.87 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$180.73 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
58 |
$89.12 |