| Code | Description | Claims | Beneficiaries | Total Paid |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
844 |
840 |
$13K |
| 87481 |
|
395 |
395 |
$2K |
| 87150 |
|
395 |
395 |
$1K |
| 87653 |
|
637 |
636 |
$842.61 |
| 87640 |
|
622 |
621 |
$782.51 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
496 |
495 |
$595.83 |
| 87641 |
|
442 |
441 |
$567.96 |
| 87541 |
|
491 |
490 |
$527.05 |
| 87486 |
|
491 |
490 |
$527.05 |
| 87581 |
|
491 |
490 |
$527.05 |
| 87500 |
|
175 |
175 |
$186.68 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
50 |
50 |
$20.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$16.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
64 |
64 |
$14.61 |
| 82607 |
|
43 |
43 |
$13.20 |
| 82746 |
|
53 |
53 |
$12.94 |
| 86677 |
|
48 |
48 |
$12.82 |
| 84480 |
|
63 |
63 |
$12.46 |
| 82728 |
|
48 |
48 |
$11.95 |
| 80061 |
Lipid panel |
48 |
48 |
$11.42 |
| 86038 |
|
62 |
62 |
$10.52 |
| 80053 |
Comprehensive metabolic panel |
48 |
48 |
$9.10 |
| 84439 |
|
62 |
62 |
$7.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
63 |
$6.68 |
| 83735 |
|
60 |
60 |
$5.90 |
| 82150 |
|
48 |
48 |
$5.67 |
| 83540 |
|
54 |
54 |
$5.66 |
| 86430 |
|
64 |
64 |
$4.99 |
| 84100 |
|
60 |
60 |
$4.17 |
| 84550 |
|
63 |
63 |
$3.97 |
| 85651 |
|
63 |
63 |
$2.35 |
| 84403 |
|
13 |
13 |
$0.00 |