| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83880 |
|
33 |
29 |
$66.33 |
| 82553 |
|
47 |
28 |
$34.45 |
| 84484 |
|
57 |
39 |
$26.73 |
| 80061 |
Lipid panel |
946 |
942 |
$25.51 |
| 80053 |
Comprehensive metabolic panel |
1,468 |
1,421 |
$20.42 |
| 82550 |
|
68 |
49 |
$19.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,427 |
1,278 |
$18.17 |
| 84443 |
Thyroid stimulating hormone (TSH) |
746 |
740 |
$14.76 |
| 83735 |
|
126 |
93 |
$13.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
883 |
880 |
$10.25 |
| 80069 |
|
161 |
149 |
$9.12 |
| 81001 |
|
403 |
394 |
$3.32 |
| 87147 |
|
32 |
32 |
$0.00 |
| 84153 |
|
30 |
30 |
$0.00 |
| 84703 |
|
17 |
17 |
$0.00 |
| 85651 |
|
142 |
141 |
$0.00 |
| 87340 |
|
148 |
148 |
$0.00 |
| 86592 |
|
251 |
249 |
$0.00 |
| 82607 |
|
118 |
118 |
$0.00 |
| 82728 |
|
60 |
58 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
227 |
227 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
41 |
41 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
222 |
221 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
44 |
44 |
$0.00 |
| 84132 |
|
42 |
42 |
$0.00 |
| 87536 |
|
17 |
17 |
$0.00 |
| 86225 |
|
46 |
46 |
$0.00 |
| 87077 |
|
50 |
50 |
$0.00 |
| 86160 |
|
40 |
40 |
$0.00 |
| 82043 |
|
256 |
255 |
$0.00 |
| 82746 |
|
47 |
47 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
150 |
146 |
$0.00 |
| 86803 |
|
118 |
117 |
$0.00 |
| 82150 |
|
34 |
34 |
$0.00 |
| 87205 |
|
27 |
26 |
$0.00 |
| 86850 |
|
89 |
88 |
$0.00 |
| 87632 |
|
83 |
83 |
$0.00 |
| 83690 |
|
36 |
36 |
$0.00 |
| 82435 |
|
42 |
42 |
$0.00 |
| 86706 |
|
111 |
111 |
$0.00 |
| 86901 |
|
97 |
96 |
$0.00 |
| 85730 |
|
186 |
183 |
$0.00 |
| 86430 |
|
43 |
43 |
$0.00 |
| 87070 |
|
76 |
76 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
283 |
279 |
$0.00 |
| 87088 |
|
257 |
250 |
$0.00 |
| 85027 |
|
220 |
218 |
$0.00 |
| 86762 |
|
42 |
42 |
$0.00 |
| 83615 |
|
15 |
15 |
$0.00 |
| 86141 |
|
82 |
81 |
$0.00 |
| 86255 |
|
61 |
60 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 87040 |
|
12 |
12 |
$0.00 |
| 82374 |
|
42 |
42 |
$0.00 |
| 86900 |
|
90 |
89 |
$0.00 |
| 85007 |
|
41 |
35 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
282 |
278 |
$0.00 |
| 84295 |
|
43 |
43 |
$0.00 |
| 84403 |
|
13 |
13 |
$0.00 |
| 84520 |
|
68 |
68 |
$0.00 |
| 82310 |
|
44 |
44 |
$0.00 |
| 86200 |
|
27 |
27 |
$0.00 |
| 84466 |
|
62 |
61 |
$0.00 |
| 82565 |
|
76 |
76 |
$0.00 |
| 86480 |
|
60 |
60 |
$0.00 |
| 87186 |
|
57 |
57 |
$0.00 |
| 85610 |
|
427 |
357 |
$0.00 |
| 81002 |
|
73 |
63 |
$0.00 |
| 86360 |
|
13 |
13 |
$0.00 |
| 83540 |
|
62 |
61 |
$0.00 |
| 84100 |
|
36 |
32 |
$0.00 |
| 87252 |
|
17 |
17 |
$0.00 |
| 84439 |
|
325 |
321 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
56 |
53 |
$0.00 |
| 84156 |
|
48 |
46 |
$0.00 |
| 82570 |
|
43 |
41 |
$0.00 |
| 82948 |
|
24 |
24 |
$0.00 |
| 86235 |
|
25 |
25 |
$0.00 |
| 82947 |
|
79 |
79 |
$0.00 |
| 83970 |
|
14 |
14 |
$0.00 |
| 80074 |
|
70 |
70 |
$0.00 |
| 81025 |
|
83 |
80 |
$0.00 |
| 84550 |
|
58 |
56 |
$0.00 |
| 87338 |
|
29 |
29 |
$0.00 |
| 84481 |
|
35 |
35 |
$0.00 |
| 80076 |
|
56 |
56 |
$0.00 |