| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,711 |
3,637 |
$1.69M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,758 |
5,101 |
$639K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,580 |
1,446 |
$598K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,022 |
7,803 |
$268K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,009 |
7,794 |
$267K |
| 80050 |
General health panel |
6,930 |
6,319 |
$198K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
7,558 |
3,635 |
$177K |
| 87486 |
|
4,651 |
3,635 |
$105K |
| 87581 |
|
4,637 |
3,630 |
$105K |
| 87660 |
|
5,876 |
5,279 |
$102K |
| 87510 |
|
6,088 |
5,301 |
$101K |
| 87480 |
|
6,080 |
5,294 |
$100K |
| 87507 |
|
280 |
243 |
$93K |
| 80061 |
Lipid panel |
15,513 |
13,526 |
$89K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,894 |
3,968 |
$67K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
847 |
657 |
$62K |
| 80053 |
Comprehensive metabolic panel |
14,687 |
13,137 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,351 |
13,492 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,655 |
1,674 |
$42K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,666 |
6,800 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,018 |
7,821 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,091 |
2,810 |
$36K |
| 84439 |
|
4,526 |
3,805 |
$26K |
| 80305 |
|
1,890 |
1,555 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
16,194 |
14,177 |
$15K |
| 86376 |
|
1,087 |
938 |
$12K |
| 84153 |
|
948 |
861 |
$11K |
| 82728 |
|
1,709 |
1,438 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,072 |
2,729 |
$10K |
| 84481 |
|
1,206 |
1,067 |
$9K |
| 82043 |
|
2,486 |
2,298 |
$8K |
| 82570 |
|
2,476 |
2,297 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
358 |
329 |
$7K |
| 83735 |
|
2,124 |
1,781 |
$5K |
| 82607 |
|
810 |
586 |
$5K |
| 84403 |
|
241 |
208 |
$5K |
| 83550 |
|
1,263 |
990 |
$5K |
| 83540 |
|
1,759 |
1,386 |
$4K |
| 81001 |
|
2,916 |
2,638 |
$4K |
| 81003 |
|
2,302 |
2,070 |
$3K |
| 85651 |
|
1,219 |
1,038 |
$3K |
| 85027 |
|
727 |
642 |
$2K |
| 84550 |
|
1,097 |
1,001 |
$2K |
| 82677 |
|
89 |
84 |
$2K |
| 82105 |
|
90 |
85 |
$1K |
| 87807 |
|
101 |
94 |
$1K |
| 86336 |
|
89 |
84 |
$1K |
| 84436 |
|
505 |
423 |
$1K |
| 84702 |
|
90 |
85 |
$1K |
| 82274 |
|
113 |
50 |
$1K |
| 86769 |
|
50 |
24 |
$1K |
| 83970 |
|
119 |
109 |
$1K |
| 85610 |
|
653 |
418 |
$1K |
| 83880 |
|
177 |
149 |
$975.78 |
| 82746 |
|
208 |
135 |
$963.21 |
| 85007 |
|
730 |
645 |
$902.40 |
| 82950 |
|
202 |
191 |
$872.16 |
| 80076 |
|
171 |
153 |
$852.34 |
| 84479 |
|
327 |
281 |
$725.52 |
| 86038 |
|
70 |
55 |
$457.60 |
| 84100 |
|
323 |
278 |
$335.83 |
| 86140 |
|
113 |
105 |
$288.40 |
| 83001 |
|
18 |
13 |
$203.50 |
| 86430 |
|
43 |
37 |
$153.30 |
| 85018 |
|
54 |
49 |
$101.48 |
| 84460 |
|
42 |
39 |
$69.52 |
| 82947 |
|
14 |
13 |
$42.38 |
| 84132 |
|
12 |
12 |
$4.57 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
926 |
679 |
$0.00 |