| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,417 |
4,506 |
$181K |
| 88307 |
|
831 |
743 |
$53K |
| 85027 |
|
7,514 |
4,934 |
$12K |
| 88312 |
|
373 |
346 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,734 |
1,886 |
$5K |
| 88304 |
|
627 |
565 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,244 |
1,218 |
$3K |
| 83735 |
|
1,533 |
765 |
$3K |
| 84484 |
|
1,727 |
1,296 |
$3K |
| 88342 |
|
118 |
92 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,408 |
2,347 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
345 |
335 |
$2K |
| 80053 |
Comprehensive metabolic panel |
5,274 |
3,799 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
345 |
334 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,203 |
1,061 |
$2K |
| 83690 |
|
1,463 |
1,296 |
$2K |
| 82962 |
|
1,883 |
486 |
$2K |
| 88302 |
|
171 |
168 |
$2K |
| 82565 |
|
1,358 |
1,251 |
$1K |
| 83880 |
|
829 |
647 |
$1K |
| 87040 |
|
343 |
273 |
$1K |
| 86901 |
|
990 |
870 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
318 |
280 |
$1K |
| 83605 |
|
468 |
400 |
$1K |
| 84520 |
|
1,264 |
1,182 |
$1K |
| 82947 |
|
1,221 |
1,160 |
$1K |
| 85610 |
|
795 |
575 |
$878.92 |
| 85730 |
|
402 |
278 |
$761.80 |
| 87070 |
|
607 |
539 |
$724.75 |
| 87210 |
|
211 |
206 |
$675.92 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
506 |
414 |
$585.54 |
| 84703 |
|
454 |
406 |
$557.06 |
| 82550 |
|
348 |
272 |
$516.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
213 |
191 |
$501.25 |
| 80061 |
Lipid panel |
147 |
125 |
$470.70 |
| 81003 |
|
917 |
879 |
$452.74 |
| 86900 |
|
991 |
871 |
$451.44 |
| 82805 |
|
167 |
74 |
$438.56 |
| 87077 |
|
225 |
187 |
$410.52 |
| 87186 |
|
231 |
195 |
$355.05 |
| 84100 |
|
225 |
97 |
$346.45 |
| 86850 |
|
529 |
480 |
$295.05 |
| 88108 |
|
16 |
13 |
$196.79 |
| 81001 |
|
4,273 |
3,864 |
$195.98 |
| 84702 |
|
140 |
120 |
$190.44 |
| 82248 |
|
508 |
449 |
$172.12 |
| 87641 |
|
29 |
26 |
$153.64 |
| 88311 |
|
13 |
12 |
$133.94 |
| 80069 |
|
131 |
53 |
$106.15 |
| 81025 |
|
1,433 |
1,369 |
$104.09 |
| 80076 |
|
1,144 |
1,048 |
$101.45 |
| 86140 |
|
68 |
25 |
$95.40 |
| 82553 |
|
152 |
132 |
$63.99 |
| 85379 |
|
73 |
61 |
$59.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
693 |
678 |
$49.12 |
| 87205 |
|
29 |
26 |
$38.16 |
| 87808 |
|
15 |
15 |
$32.69 |
| 85014 |
|
34 |
25 |
$29.00 |
| 85018 |
|
35 |
26 |
$16.32 |
| 85048 |
|
31 |
27 |
$15.26 |
| 80051 |
|
1,216 |
1,155 |
$7.79 |
| 85049 |
|
192 |
174 |
$0.00 |