| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
158 |
122 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
190 |
132 |
$368.48 |
| 80053 |
Comprehensive metabolic panel |
187 |
140 |
$206.70 |
| 84439 |
|
89 |
63 |
$128.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
152 |
108 |
$99.79 |
| 80061 |
Lipid panel |
91 |
64 |
$78.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
167 |
120 |
$69.39 |
| 88312 |
|
19 |
12 |
$0.00 |
| 88313 |
|
22 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
200 |
143 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
15 |
$0.00 |
| 82607 |
|
32 |
14 |
$0.00 |
| 88342 |
|
22 |
12 |
$0.00 |