| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84443 |
Thyroid stimulating hormone (TSH) |
304 |
304 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
607 |
595 |
$3K |
| 80053 |
Comprehensive metabolic panel |
438 |
436 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
113 |
113 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
112 |
110 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
113 |
110 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
79 |
79 |
$1K |
| 80061 |
Lipid panel |
202 |
201 |
$1K |
| 87390 |
|
82 |
82 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
160 |
160 |
$747.71 |
| 86702 |
|
82 |
82 |
$572.26 |
| 86780 |
|
62 |
62 |
$457.38 |
| 86803 |
|
56 |
56 |
$430.16 |
| 86701 |
|
82 |
82 |
$376.32 |
| 80074 |
|
12 |
12 |
$307.41 |
| 82728 |
|
40 |
39 |
$301.45 |
| 84439 |
|
76 |
76 |
$295.95 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
65 |
$278.53 |
| 82607 |
|
29 |
29 |
$247.52 |
| 83550 |
|
31 |
30 |
$148.98 |
| 83540 |
|
33 |
32 |
$116.59 |
| 84702 |
|
12 |
12 |
$99.63 |
| 81001 |
|
46 |
46 |
$79.72 |
| 87340 |
|
12 |
12 |
$70.60 |
| 84550 |
|
28 |
27 |
$62.97 |
| 83735 |
|
14 |
14 |
$54.12 |
| 82565 |
|
17 |
17 |
$53.18 |
| 85027 |
|
14 |
14 |
$50.90 |
| 84520 |
|
16 |
16 |
$31.79 |
| 85652 |
|
13 |
13 |
$22.08 |
| 82951 |
|
12 |
12 |
$18.84 |
| 36415 |
Collection of venous blood by venipuncture |
1,258 |
1,232 |
$18.83 |
| 82952 |
|
12 |
12 |
$5.74 |