| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
98 |
93 |
$11K |
| 83655 |
|
234 |
233 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
44 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
44 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
24 |
$717.27 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
40 |
40 |
$630.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
36 |
$334.11 |
| 80061 |
Lipid panel |
87 |
87 |
$297.23 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
59 |
$287.33 |
| 80053 |
Comprehensive metabolic panel |
46 |
46 |
$261.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
57 |
57 |
$179.25 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
15 |
$91.95 |
| 82728 |
|
18 |
18 |
$70.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$58.67 |
| 86592 |
|
13 |
13 |
$28.40 |