| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,646 |
1,622 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
624 |
592 |
$991.24 |
| 84403 |
|
556 |
524 |
$705.73 |
| 84402 |
|
543 |
513 |
$678.17 |
| 84443 |
Thyroid stimulating hormone (TSH) |
631 |
604 |
$608.10 |
| 84270 |
|
546 |
516 |
$583.99 |
| 82627 |
|
533 |
510 |
$576.65 |
| 84481 |
|
582 |
551 |
$517.44 |
| 83002 |
|
544 |
514 |
$501.59 |
| 82607 |
|
605 |
566 |
$494.01 |
| 82746 |
|
586 |
556 |
$481.88 |
| 82533 |
|
538 |
515 |
$441.45 |
| 82670 |
|
283 |
268 |
$428.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
616 |
593 |
$387.86 |
| 82728 |
|
542 |
519 |
$385.01 |
| 86141 |
|
529 |
510 |
$364.07 |
| 83525 |
|
538 |
516 |
$309.56 |
| 84439 |
|
600 |
563 |
$296.55 |
| 80061 |
Lipid panel |
663 |
626 |
$286.73 |
| 84144 |
|
260 |
248 |
$245.39 |
| 83001 |
|
270 |
256 |
$218.54 |
| 83540 |
|
540 |
518 |
$197.71 |
| 84153 |
|
184 |
177 |
$186.49 |
| 82150 |
|
531 |
511 |
$182.29 |
| 83735 |
|
537 |
510 |
$181.49 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
547 |
525 |
$180.96 |
| 83615 |
|
528 |
509 |
$163.57 |
| 80053 |
Comprehensive metabolic panel |
640 |
618 |
$107.25 |
| 80050 |
General health panel |
18 |
15 |
$45.12 |
| 84100 |
|
555 |
528 |
$38.38 |
| 82248 |
|
14 |
12 |
$4.72 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
46 |
30 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
40 |
30 |
$0.00 |
| 87641 |
|
132 |
84 |
$0.00 |
| 87634 |
|
46 |
30 |
$0.00 |
| 81401 |
|
50 |
21 |
$0.00 |
| 81291 |
|
27 |
21 |
$0.00 |
| 87653 |
|
81 |
56 |
$0.00 |
| 81241 |
|
26 |
20 |
$0.00 |
| 87481 |
|
40 |
28 |
$0.00 |
| 81355 |
|
26 |
20 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
78 |
41 |
$0.00 |
| 82570 |
|
102 |
102 |
$0.00 |
| 81479 |
Unlisted molecular pathology procedure |
35 |
20 |
$0.00 |
| 83986 |
|
102 |
102 |
$0.00 |
| 87503 |
|
46 |
30 |
$0.00 |
| 81227 |
|
27 |
21 |
$0.00 |
| 87496 |
|
40 |
30 |
$0.00 |
| 87500 |
|
158 |
84 |
$0.00 |
| 87486 |
|
45 |
30 |
$0.00 |
| 81240 |
|
26 |
20 |
$0.00 |
| 87498 |
|
46 |
30 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
59 |
58 |
$0.00 |
| 81230 |
|
27 |
21 |
$0.00 |
| 81225 |
|
27 |
21 |
$0.00 |
| 87640 |
|
168 |
104 |
$0.00 |
| 87581 |
|
46 |
30 |
$0.00 |
| 87532 |
|
42 |
28 |
$0.00 |
| 84311 |
|
102 |
102 |
$0.00 |
| 87541 |
|
46 |
30 |
$0.00 |
| 81226 |
|
25 |
19 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$0.00 |
| 87511 |
|
25 |
13 |
$0.00 |
| 81400 |
|
23 |
17 |
$0.00 |