| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
28 |
28 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
28 |
28 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
34 |
34 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
49 |
49 |
$1K |
| 80053 |
Comprehensive metabolic panel |
66 |
65 |
$801.27 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
14 |
$644.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73 |
73 |
$644.23 |
| 84439 |
|
37 |
37 |
$416.74 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
43 |
42 |
$364.56 |
| 87480 |
|
12 |
12 |
$295.30 |
| 87660 |
|
12 |
12 |
$240.30 |
| 87510 |
|
12 |
12 |
$240.30 |
| 87186 |
|
12 |
12 |
$125.76 |
| 81001 |
|
12 |
12 |
$46.05 |