| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
155 |
155 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
421 |
421 |
$4K |
| 87631 |
|
31 |
31 |
$3K |
| 80053 |
Comprehensive metabolic panel |
343 |
342 |
$2K |
| 80061 |
Lipid panel |
355 |
354 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
69 |
69 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
69 |
69 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
247 |
247 |
$1K |
| 86703 |
|
70 |
70 |
$1K |
| 84439 |
|
118 |
118 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
138 |
138 |
$833.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
345 |
342 |
$760.80 |
| 82043 |
|
102 |
102 |
$487.91 |
| 83655 |
|
26 |
26 |
$389.30 |
| 84481 |
|
28 |
28 |
$252.00 |
| 80076 |
|
26 |
26 |
$188.50 |
| 86592 |
|
53 |
53 |
$173.31 |
| 85027 |
|
51 |
51 |
$161.67 |
| 81001 |
|
41 |
41 |
$160.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$105.95 |
| 82728 |
|
13 |
13 |
$103.25 |
| 84480 |
|
55 |
55 |
$39.90 |
| 82040 |
|
12 |
12 |
$10.06 |
| 36415 |
Collection of venous blood by venipuncture |
234 |
232 |
$0.00 |