| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
338 |
167 |
$5K |
| 80053 |
Comprehensive metabolic panel |
638 |
539 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
740 |
575 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
232 |
215 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
68 |
60 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
143 |
128 |
$832.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
182 |
129 |
$773.78 |
| 87081 |
|
175 |
130 |
$721.42 |
| 83735 |
|
172 |
106 |
$622.52 |
| 83690 |
|
134 |
109 |
$580.58 |
| 80061 |
Lipid panel |
171 |
165 |
$573.94 |
| 87641 |
|
22 |
15 |
$497.29 |
| 81001 |
|
202 |
179 |
$486.35 |
| 87077 |
|
51 |
34 |
$481.94 |
| 84484 |
|
101 |
77 |
$465.86 |
| 87480 |
|
33 |
27 |
$421.65 |
| 87510 |
|
33 |
27 |
$421.65 |
| 84439 |
|
89 |
82 |
$414.12 |
| 88304 |
|
14 |
14 |
$388.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
110 |
104 |
$367.50 |
| 87807 |
|
51 |
29 |
$362.61 |
| 83880 |
|
42 |
32 |
$350.64 |
| 82962 |
|
135 |
59 |
$289.21 |
| 87660 |
|
33 |
27 |
$274.13 |
| 86850 |
|
77 |
52 |
$261.84 |
| 82607 |
|
38 |
31 |
$246.33 |
| 81003 |
|
90 |
79 |
$244.59 |
| 87186 |
|
40 |
33 |
$237.11 |
| 82805 |
|
28 |
15 |
$209.84 |
| 86901 |
|
79 |
60 |
$187.74 |
| 85610 |
|
83 |
55 |
$166.81 |
| 86900 |
|
80 |
61 |
$148.78 |
| 85027 |
|
46 |
39 |
$136.60 |
| 83605 |
|
21 |
15 |
$105.24 |
| 85379 |
|
27 |
18 |
$99.45 |
| 81025 |
|
40 |
36 |
$92.26 |
| 84100 |
|
37 |
26 |
$84.95 |
| 82550 |
|
19 |
12 |
$74.09 |
| 85652 |
|
38 |
30 |
$58.37 |
| 82570 |
|
20 |
18 |
$54.36 |
| 82043 |
|
19 |
16 |
$44.19 |