| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
163 |
163 |
$3K |
| 80053 |
Comprehensive metabolic panel |
253 |
237 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
30 |
30 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
318 |
301 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
137 |
136 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
98 |
98 |
$844.76 |
| 86003 |
|
18 |
18 |
$610.40 |
| 87081 |
|
90 |
88 |
$507.60 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
64 |
63 |
$490.56 |
| 80061 |
Lipid panel |
105 |
105 |
$490.05 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
15 |
$446.99 |
| 84439 |
|
54 |
54 |
$379.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$365.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
63 |
$269.72 |
| 86780 |
|
16 |
16 |
$269.12 |
| 87186 |
|
21 |
21 |
$252.77 |
| 82607 |
|
20 |
20 |
$233.60 |
| 87340 |
|
16 |
16 |
$210.24 |
| 86803 |
|
12 |
12 |
$196.80 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
23 |
23 |
$185.38 |
| 83655 |
|
15 |
15 |
$173.10 |
| 86140 |
|
36 |
34 |
$164.52 |
| 85027 |
|
28 |
26 |
$156.52 |
| 81001 |
|
55 |
54 |
$147.34 |
| 83735 |
|
22 |
13 |
$140.36 |
| 87070 |
|
24 |
23 |
$138.69 |
| 83020 |
|
15 |
15 |
$125.85 |
| 87088 |
|
14 |
14 |
$110.00 |
| 82950 |
|
22 |
22 |
$99.66 |
| 84100 |
|
21 |
12 |
$95.13 |
| 84702 |
|
18 |
17 |
$94.82 |
| 83550 |
|
16 |
16 |
$91.63 |
| 82728 |
|
17 |
17 |
$83.64 |
| 86592 |
|
20 |
20 |
$77.80 |
| 83540 |
|
17 |
17 |
$74.52 |
| 82043 |
|
19 |
19 |
$72.77 |
| 85610 |
|
22 |
19 |
$59.52 |
| 87205 |
|
13 |
13 |
$44.33 |
| 81003 |
|
19 |
19 |
$38.16 |
| 85730 |
|
13 |
13 |
$28.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19 |
19 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19 |
19 |
$0.00 |
| 87077 |
|
23 |
23 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
86 |
86 |
$0.00 |