| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
19,127 |
18,978 |
$150K |
| 80061 |
Lipid panel |
15,457 |
15,417 |
$146K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,114 |
9,085 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,197 |
16,773 |
$97K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,405 |
12,353 |
$88K |
| 84439 |
|
6,768 |
6,750 |
$45K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
816 |
815 |
$25K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
815 |
814 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,614 |
3,537 |
$23K |
| 85027 |
|
3,668 |
3,477 |
$21K |
| 86780 |
|
1,501 |
1,501 |
$19K |
| 87081 |
|
2,159 |
2,144 |
$13K |
| 82950 |
|
3,102 |
3,090 |
$13K |
| 86762 |
|
573 |
572 |
$8K |
| 86850 |
|
2,402 |
2,400 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
294 |
294 |
$7K |
| 87340 |
|
666 |
666 |
$6K |
| 86901 |
|
2,359 |
2,346 |
$6K |
| 86900 |
|
2,338 |
2,335 |
$6K |
| 81001 |
|
2,756 |
2,724 |
$5K |
| 0300 |
|
1,127 |
547 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,332 |
1,298 |
$4K |
| 82043 |
|
2,220 |
2,218 |
$4K |
| 82570 |
|
2,260 |
2,257 |
$4K |
| 82550 |
|
420 |
418 |
$3K |
| 82951 |
|
226 |
225 |
$2K |
| 99000 |
|
740 |
632 |
$2K |
| 80055 |
|
50 |
50 |
$2K |
| 82947 |
|
487 |
476 |
$2K |
| 84100 |
|
356 |
349 |
$1K |
| 80076 |
|
200 |
159 |
$1K |
| 82248 |
|
276 |
274 |
$1K |
| 82952 |
|
226 |
225 |
$761.56 |
| 85610 |
|
101 |
93 |
$128.32 |
| 84460 |
|
40 |
28 |
$126.67 |
| 84450 |
|
38 |
28 |
$106.28 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
45 |
45 |
$90.85 |
| 85045 |
|
15 |
15 |
$64.14 |
| 84153 |
|
28 |
28 |
$44.13 |
| 80069 |
|
13 |
12 |
$0.00 |