| Code | Description | Claims | Beneficiaries | Total Paid |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
761 |
736 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,003 |
948 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
206 |
$7K |
| 80053 |
Comprehensive metabolic panel |
240 |
219 |
$3K |
| 87807 |
|
93 |
90 |
$2K |
| 81001 |
|
325 |
313 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
102 |
96 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
38 |
$674.13 |
| 85027 |
|
39 |
39 |
$368.51 |
| 86308 |
|
14 |
14 |
$88.32 |
| 82043 |
|
14 |
12 |
$80.69 |
| 85014 |
|
29 |
25 |
$73.54 |
| 85018 |
|
29 |
25 |
$73.54 |