| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,397 |
3,522 |
$125K |
| 88307 |
|
1,332 |
1,076 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,394 |
12,203 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,388 |
6,986 |
$72K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,101 |
1,900 |
$68K |
| 80053 |
Comprehensive metabolic panel |
11,306 |
9,146 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,618 |
5,332 |
$52K |
| 88342 |
|
1,371 |
1,267 |
$32K |
| 84484 |
|
3,577 |
2,961 |
$24K |
| 85027 |
|
5,844 |
4,158 |
$20K |
| 87807 |
|
2,398 |
2,296 |
$20K |
| 81001 |
|
9,723 |
8,645 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,559 |
2,584 |
$17K |
| 83735 |
|
4,107 |
2,722 |
$15K |
| 83690 |
|
3,023 |
2,724 |
$13K |
| 88304 |
|
862 |
784 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,700 |
2,517 |
$11K |
| 83605 |
|
1,399 |
1,197 |
$8K |
| 83880 |
|
358 |
314 |
$8K |
| 87040 |
|
1,300 |
1,164 |
$7K |
| 81025 |
|
1,911 |
1,825 |
$7K |
| 87070 |
|
1,560 |
1,478 |
$7K |
| 80050 |
General health panel |
297 |
290 |
$7K |
| 84703 |
|
1,241 |
1,190 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
268 |
263 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
268 |
263 |
$5K |
| 82150 |
|
1,093 |
1,009 |
$5K |
| 85007 |
|
2,210 |
1,764 |
$5K |
| 82375 |
|
693 |
553 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
358 |
349 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
395 |
383 |
$3K |
| 80061 |
Lipid panel |
693 |
668 |
$3K |
| 83050 |
|
715 |
569 |
$3K |
| 80069 |
|
790 |
343 |
$3K |
| 86780 |
|
544 |
529 |
$2K |
| 85610 |
|
1,272 |
978 |
$2K |
| 85379 |
|
390 |
347 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
656 |
641 |
$2K |
| 84702 |
|
373 |
315 |
$1K |
| 87205 |
|
607 |
553 |
$1K |
| 85014 |
|
1,090 |
996 |
$906.44 |
| 86140 |
|
364 |
313 |
$832.71 |
| 82553 |
|
142 |
129 |
$820.86 |
| 85730 |
|
311 |
272 |
$788.55 |
| 88341 |
|
17 |
12 |
$784.06 |
| 88302 |
|
58 |
56 |
$710.13 |
| 85060 |
|
109 |
99 |
$684.97 |
| 83615 |
|
187 |
144 |
$575.82 |
| 84550 |
|
205 |
165 |
$553.14 |
| 86703 |
|
57 |
49 |
$396.45 |
| 88311 |
|
67 |
60 |
$274.75 |
| 80164 |
|
38 |
28 |
$228.19 |
| 80500 |
|
31 |
30 |
$225.26 |
| 82728 |
|
75 |
55 |
$200.03 |
| 86592 |
|
94 |
91 |
$192.79 |
| 82607 |
|
16 |
16 |
$184.29 |
| 80306 |
|
13 |
12 |
$179.60 |
| 80202 |
|
27 |
12 |
$173.19 |
| 86762 |
|
15 |
14 |
$119.96 |
| 82746 |
|
12 |
12 |
$118.85 |
| 84100 |
|
67 |
43 |
$105.78 |
| 82550 |
|
27 |
26 |
$100.29 |
| 86885 |
|
36 |
33 |
$83.30 |
| 86901 |
|
51 |
47 |
$72.17 |
| 87340 |
|
13 |
13 |
$63.92 |
| 83540 |
|
17 |
16 |
$50.38 |
| 86900 |
|
34 |
32 |
$40.18 |
| 84156 |
|
16 |
12 |
$32.64 |
| 85045 |
|
14 |
13 |
$28.86 |
| 81003 |
|
30 |
29 |
$27.50 |
| 84145 |
|
15 |
12 |
$0.00 |
| 80320 |
|
1,224 |
1,101 |
$0.00 |