| Code | Description | Claims | Beneficiaries | Total Paid |
| 84443 |
Thyroid stimulating hormone (TSH) |
305 |
276 |
$5K |
| 80061 |
Lipid panel |
341 |
306 |
$5K |
| 80053 |
Comprehensive metabolic panel |
376 |
335 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
472 |
426 |
$4K |
| 82274 |
|
153 |
131 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
135 |
$2K |
| 81000 |
|
394 |
354 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
570 |
490 |
$864.45 |
| 82043 |
|
105 |
90 |
$703.53 |
| 84153 |
|
38 |
28 |
$681.60 |
| 87186 |
|
12 |
12 |
$100.10 |
| 87088 |
|
12 |
12 |
$93.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$93.50 |