| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
414 |
387 |
$15K |
| 88304 |
|
322 |
315 |
$8K |
| 88307 |
|
38 |
36 |
$3K |
| 80053 |
Comprehensive metabolic panel |
387 |
359 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
432 |
397 |
$1K |
| 88342 |
|
58 |
51 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
118 |
116 |
$968.78 |
| 88341 |
|
18 |
14 |
$917.08 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
52 |
52 |
$912.60 |
| 80061 |
Lipid panel |
117 |
117 |
$547.54 |
| 82607 |
|
68 |
68 |
$405.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
84 |
$285.60 |
| 81025 |
|
95 |
93 |
$283.88 |
| 84484 |
|
59 |
58 |
$270.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
65 |
63 |
$269.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
64 |
$262.60 |
| 83690 |
|
72 |
68 |
$241.92 |
| 83735 |
|
68 |
66 |
$223.04 |
| 81001 |
|
104 |
102 |
$148.72 |
| 82728 |
|
27 |
27 |
$128.79 |
| 85610 |
|
50 |
28 |
$95.50 |
| 84439 |
|
18 |
18 |
$79.74 |
| 81003 |
|
65 |
63 |
$70.85 |
| 84466 |
|
12 |
12 |
$53.64 |
| 83540 |
|
15 |
15 |
$47.85 |
| 85027 |
|
16 |
15 |
$45.92 |
| 82570 |
|
13 |
13 |
$32.62 |
| 86140 |
|
13 |
12 |
$30.55 |
| 82043 |
|
12 |
12 |
$24.24 |
| 85652 |
|
12 |
12 |
$15.72 |