| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
310 |
307 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
194 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
354 |
351 |
$4K |
| 80053 |
Comprehensive metabolic panel |
306 |
304 |
$4K |
| 90461 |
|
78 |
77 |
$4K |
| 90715 |
|
91 |
91 |
$3K |
| 80061 |
Lipid panel |
201 |
199 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
115 |
$3K |
| 80050 |
General health panel |
67 |
67 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
219 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
64 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$994.25 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
70 |
70 |
$661.40 |
| 81001 |
|
125 |
121 |
$366.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$313.70 |
| 80305 |
|
14 |
14 |
$182.48 |
| 87210 |
|
44 |
44 |
$167.98 |
| 85610 |
|
38 |
31 |
$151.43 |
| 36415 |
Collection of venous blood by venipuncture |
926 |
886 |
$141.00 |
| 81025 |
|
14 |
14 |
$103.38 |
| 82044 |
|
16 |
16 |
$78.92 |
| 85018 |
|
17 |
17 |
$33.75 |