| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
186 |
176 |
$9K |
| 85027 |
|
4,972 |
2,960 |
$3K |
| 80053 |
Comprehensive metabolic panel |
3,297 |
2,426 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,617 |
1,204 |
$934.43 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,289 |
1,290 |
$604.84 |
| 83735 |
|
895 |
546 |
$424.57 |
| 84484 |
|
423 |
353 |
$306.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
233 |
216 |
$263.34 |
| 81001 |
|
2,232 |
1,927 |
$231.98 |
| 84703 |
|
588 |
525 |
$210.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
257 |
230 |
$196.56 |
| 83690 |
|
775 |
664 |
$186.87 |
| 85610 |
|
267 |
165 |
$125.56 |
| 82962 |
|
741 |
287 |
$112.50 |
| 86901 |
|
214 |
179 |
$83.85 |
| 85730 |
|
76 |
63 |
$65.00 |
| 87040 |
|
16 |
12 |
$46.80 |
| 86900 |
|
215 |
180 |
$37.13 |
| 87070 |
|
106 |
98 |
$36.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
15 |
$34.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
84 |
$28.71 |
| 86850 |
|
40 |
38 |
$4.20 |
| 80061 |
Lipid panel |
24 |
24 |
$0.00 |
| 87807 |
|
32 |
28 |
$0.00 |
| 83605 |
|
17 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$0.00 |