| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
1,003 |
703 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
19 |
19 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,182 |
754 |
$1K |
| 84484 |
|
506 |
391 |
$718.19 |
| 83690 |
|
451 |
404 |
$449.67 |
| 83735 |
|
480 |
286 |
$445.59 |
| 85027 |
|
516 |
330 |
$431.94 |
| 94680 |
|
28 |
16 |
$395.47 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
236 |
117 |
$296.13 |
| 81001 |
|
489 |
475 |
$220.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
87 |
76 |
$200.36 |
| 87040 |
|
108 |
95 |
$157.92 |
| 83605 |
|
96 |
74 |
$146.56 |
| 85730 |
|
144 |
121 |
$133.73 |
| 82948 |
|
257 |
99 |
$118.80 |
| 85610 |
|
188 |
158 |
$108.59 |
| 83880 |
|
19 |
17 |
$107.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
50 |
$91.52 |
| 82550 |
|
90 |
81 |
$87.98 |
| 87186 |
|
50 |
44 |
$67.93 |
| 81002 |
|
191 |
163 |
$63.64 |
| 84703 |
|
33 |
28 |
$38.42 |
| 87088 |
|
37 |
34 |
$35.37 |
| 82962 |
|
24 |
13 |
$34.00 |
| 87081 |
|
29 |
28 |
$28.39 |
| 84100 |
|
39 |
16 |
$27.68 |
| 80061 |
Lipid panel |
13 |
12 |
$23.08 |
| 86140 |
|
25 |
12 |
$20.24 |
| 85379 |
|
12 |
12 |
$19.91 |
| 85007 |
|
43 |
24 |
$18.36 |
| 82248 |
|
25 |
12 |
$13.20 |
| 81003 |
|
25 |
25 |
$8.58 |