| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,218 |
2,034 |
$66K |
| 80053 |
Comprehensive metabolic panel |
5,859 |
4,964 |
$57K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,801 |
1,616 |
$56K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,968 |
3,308 |
$56K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,339 |
5,313 |
$46K |
| 80061 |
Lipid panel |
3,304 |
3,015 |
$43K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
699 |
607 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,100 |
2,749 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
517 |
230 |
$26K |
| 82607 |
|
1,589 |
1,471 |
$24K |
| 88142 |
|
1,501 |
1,371 |
$24K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,033 |
927 |
$21K |
| 80050 |
General health panel |
513 |
472 |
$20K |
| 84481 |
|
1,239 |
915 |
$16K |
| 84439 |
|
1,895 |
1,561 |
$14K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
57 |
55 |
$9K |
| 84403 |
|
601 |
421 |
$8K |
| 86141 |
|
1,040 |
570 |
$7K |
| 82728 |
|
490 |
463 |
$7K |
| 82746 |
|
414 |
379 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
164 |
143 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
258 |
175 |
$6K |
| 86003 |
|
61 |
55 |
$5K |
| 83550 |
|
643 |
546 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
181 |
151 |
$4K |
| 87481 |
|
30 |
29 |
$4K |
| 84270 |
|
417 |
297 |
$4K |
| 84153 |
|
398 |
298 |
$4K |
| 83540 |
|
614 |
522 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
322 |
230 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,991 |
4,510 |
$3K |
| 85651 |
|
740 |
586 |
$2K |
| 84550 |
|
772 |
490 |
$2K |
| 83090 |
|
222 |
181 |
$2K |
| 86140 |
|
321 |
246 |
$2K |
| 83525 |
|
261 |
207 |
$1K |
| 87511 |
|
42 |
41 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
231 |
205 |
$1K |
| 87535 |
|
115 |
84 |
$1K |
| 85610 |
|
347 |
203 |
$1K |
| 84144 |
|
141 |
121 |
$1K |
| 87088 |
|
211 |
184 |
$1K |
| 83690 |
|
345 |
256 |
$1K |
| 81003 |
|
561 |
467 |
$1K |
| 84402 |
|
468 |
319 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
170 |
108 |
$992.08 |
| 83001 |
|
89 |
77 |
$957.45 |
| 83735 |
|
332 |
255 |
$948.02 |
| 86803 |
|
88 |
80 |
$941.97 |
| 83002 |
|
70 |
62 |
$807.18 |
| 84100 |
|
334 |
252 |
$665.68 |
| 84436 |
|
167 |
153 |
$616.76 |
| 84480 |
|
150 |
134 |
$580.94 |
| 88141 |
|
33 |
31 |
$534.47 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$421.08 |
| 82670 |
|
24 |
22 |
$406.01 |
| 87590 |
|
56 |
47 |
$363.30 |
| 82570 |
|
77 |
71 |
$327.36 |
| 86431 |
|
109 |
101 |
$309.12 |
| 86665 |
|
48 |
44 |
$295.68 |
| 82040 |
|
62 |
60 |
$285.45 |
| 82565 |
|
121 |
114 |
$285.12 |
| 81015 |
|
272 |
219 |
$284.92 |
| 82043 |
|
48 |
47 |
$283.42 |
| 84450 |
|
58 |
56 |
$283.30 |
| 84075 |
|
57 |
55 |
$274.99 |
| 82310 |
|
55 |
55 |
$272.03 |
| 82247 |
|
56 |
54 |
$264.51 |
| 86592 |
|
89 |
79 |
$244.64 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
574 |
340 |
$238.92 |
| 86255 |
|
25 |
23 |
$234.15 |
| 82947 |
|
58 |
56 |
$226.58 |
| 82627 |
|
20 |
18 |
$205.38 |
| 86628 |
|
28 |
27 |
$202.15 |
| 84155 |
|
57 |
55 |
$196.94 |
| 83516 |
|
16 |
15 |
$182.76 |
| 82150 |
|
23 |
21 |
$162.45 |
| 80164 |
|
16 |
12 |
$160.83 |
| 82550 |
|
40 |
34 |
$120.54 |
| 87077 |
|
14 |
14 |
$109.80 |
| 85730 |
|
29 |
27 |
$102.57 |
| 87184 |
|
31 |
25 |
$98.12 |
| 80076 |
|
22 |
21 |
$97.20 |
| 87102 |
|
16 |
16 |
$76.09 |
| 86360 |
|
39 |
35 |
$45.96 |
| 84460 |
|
61 |
57 |
$36.80 |
| 86357 |
|
23 |
21 |
$24.45 |
| 86359 |
|
32 |
29 |
$22.98 |
| 86355 |
|
18 |
16 |
$17.36 |
| 87205 |
|
15 |
15 |
$16.68 |
| 84295 |
|
104 |
88 |
$9.57 |
| 84132 |
|
59 |
57 |
$9.42 |
| 82465 |
|
20 |
20 |
$8.62 |
| 83718 |
|
19 |
19 |
$8.11 |
| 85007 |
|
14 |
13 |
$4.56 |
| 82374 |
|
58 |
56 |
$4.30 |
| 84478 |
|
18 |
18 |
$0.00 |
| 82435 |
|
57 |
55 |
$0.00 |