| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
297 |
290 |
$3K |
| 87507 |
|
332 |
327 |
$2K |
| 87481 |
|
61 |
59 |
$554.46 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
319 |
311 |
$545.22 |
| 87486 |
|
297 |
290 |
$179.95 |
| 87581 |
|
297 |
290 |
$179.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
114 |
114 |
$116.94 |
| 84550 |
|
80 |
80 |
$98.02 |
| 87482 |
|
15 |
14 |
$89.18 |
| 87640 |
|
15 |
14 |
$69.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$52.23 |
| 84481 |
|
13 |
12 |
$48.59 |
| 80061 |
Lipid panel |
43 |
43 |
$37.46 |
| 87641 |
|
57 |
56 |
$30.57 |
| 87653 |
|
47 |
46 |
$30.21 |
| 80053 |
Comprehensive metabolic panel |
127 |
127 |
$29.17 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
28 |
$17.00 |
| 83735 |
|
96 |
96 |
$5.96 |
| 85651 |
|
59 |
59 |
$2.13 |
| 83690 |
|
54 |
54 |
$0.00 |
| 83090 |
|
58 |
58 |
$0.00 |
| 82150 |
|
58 |
58 |
$0.00 |
| 82248 |
|
53 |
53 |
$0.00 |