Overview of the type of biochemical and immuno-assays conducted by a clinical biochemistry laboratory on an annual basis (source: St. Michael’s Hospital, Toronto, Canada).
| Type of Test . | Number performed (per year) . |
|---|---|
| Acetone, quantitative* | 448 |
| Albumin, quantitative* | 125 360 |
| Alcohol, ethyl-quantitative* | 5010 |
| Alcohol, fractionation and quantification* | 5889 |
| Amylase* | 21477 |
| Barbiturates, quantitative* | 13 898 |
| Barbiturates, fractionation and quantification (serum) – includes other drugs requiring similar methodology (e.g. tricyclic antidepressants)* | 704 |
| Bilirubin, total* | 72 000 |
| Bilirubin, conjugated* | 22 545 |
| pH* | 20 |
| pCO2, pO2 and pH in combination* | 62 757 |
| Carbamazepine, quantitative (Tegretol)* | 504 |
| Chlordiazepoxide, quantitative (Librium)* | 10 |
| Calcium* | 91 723 |
| Calcium ionized* | 9676 |
| Catecholamines, fractionated* | 2485 |
| Chloride* | 227 057 |
| Cholesterol, total* | 34 663 |
| Acetaminophen* | 5036 |
| Carboxyhemoglobin* | 4 |
| CO2 content, CO2 combining power, bicarbonate (measured not calculated)* | 219 783 |
| Creatine phosphokinase* | 63 914 |
| Creatinine* | 257 139 |
| Creatinine clearance* | 4884 |
| Target drug testing, urine, qualitative or quantitative* | 37 691 |
| Diazepam, quantitative (Valium, Vivol)* | 37 |
| Drugs of abuse screen, urine* | 48 |
| Broad spectrum toxicology screen, urine – includes confirmatory testing* | 7399 |
| Electrophoresis, serum – including total protein | 7556 |
| Electrophoresis, other than serum – including total protein* | 599 |
| Glycosylated hemoglobin – Hgb A1* | 19 394 |
| Flurzepam, quantitative (Dalmane)* | 0 |
| Glucose tolerance test in pregnancy* | 2694 |
| Glucose tolerance test* | 973 |
| Gamma glutamyl transpeptidase* | 7705 |
| Glucose, quantitative (not by dipstick)* | 188 863 |
| Glucose, semiquantitative (dipstick if read with reflectance meter)* | 46 538 |
| High density lipoprotein cholesterol* | 32 179 |
| 5H1AA quantification – U* | 1554 |
| Hemoglobin A2 by chromatography* | 2030 |
| Iron, total – with iron binding capacity and percent saturation* | 21 054 |
| Lactic acid (lactate)* | 13 733 |
| Lactic dehydrogenase (L.D.H), total* | 19 245 |
| Lipase | 1475 |
| Lipoprotein, electrophoresis* | 3 |
| Lipoprotein, ultracentrifugation* | 499 |
| Lithium* | 866 |
| Lidocaine* | 86 |
| Methotrexate (amethopterin)* | 115 |
| N-acetylprocainamide* | 74 |
| Magnesium* | 84 408 |
| Metanephrines, total – U* | 2712 |
| Methemoglobin* | 77 |
| Myoglobin, quantitative – U* | 176 |
| Occult blood* | 4293 |
| Osmolality (osmolarity)* | 10 044 |
| Oxalic acid (Oxalate) – U* | 3104 |
| Phenothiazines, quantitive – U* | 69 |
| Phosphatase, alkaline* | 82 037 |
| Phosphatase, alkaline fractionation* | 62 |
| Phosphorus (inorganic phosphate)* | 86 956 |
| Plasma hemoglobin* | 44 |
| Potassium* | 235 045 |
| Protein, total* | 110 937 |
| Primidone, quantitative (Mysoline)* | 420 |
| Procainamide* | 71 |
| Quinidine* | 18 |
| Salicylate, quantitative* | 4875 |
| SGOT (AST)* | 88 095 |
| SGPT (ALT)* | 80 304 |
| Sodium* | 237 209 |
| Thiocyanates* | 15 |
| Triglycerides* | 33426 |
| Urea Nitrogen (B.U.N.)* | 201 706 |
| Uric Acid (urate)* | 23 038 |
| Urinalysis, routine chemical (any of S.G., pH, protein, sugar, hemoglobin, ketones, urobilinogen, bilirubin, leukocyte esterase, nitrite)* | 37 534 |
| Urinalysis microscopic examination of centrifuged specimen* | 11 497 |
| Valproic acid (valproate)* | 1154 |
| VMA, Vanillylmandelic acid (Vanillylmandelate)* | 1212 |
| Biochemical assays not included above* | 7844 |
| Prostate specific antigen (PSA), total | 1063 |
| Alpha Glycoprotein Subunit | 179 |
| Amylase isoenzymes | 535 |
| Apolipoproteins A and B | 12 478 |
| FK506 (Tacrolimus) | 8577 |
| Lipoprotein (a) | 792 |
| Prostate specific antigen (PSA), total | 4258 |
| Troponin | 44 477 |
| Homocysteine | 1585 |
| Chylomicrons | 4 |
| Oligoclonal banding | 1437 |
| Citrate | 2967 |
| Sirolimus (Rapamycin) | 526 |
| Natriuretic peptide – Brain (BNP) | 3201 |
| Foetal fibronectin | 16 |
| Bioavailable testosterone | 12 886 |
| Aldosterone* | 3059 |
| Cortisol* | 3470 |
| Aminoglycosides (e.g. Gentamicin, Tobramycin)* | 1108 |
| Androsternedione* | 1215 |
| Digoxin* | 1103 |
| ACTH (andrenocorticotrophic hormone)* | 1520 |
| Folate, in red cells, to include hematocrite and if requested, serum folate* | 7710 |
| Estradiol* | 1914 |
| FSH (pituitary gonadotropins)* | 2807 |
| Growth hormone* | 2343 |
| HCG (human chorionic gonadotropins)* | 9848 |
| Hepatitis associated antigen or antibody immuno-assay ‐ per assay (e.g. hepatitis B surface antigen or antibody, hepatitis B core antibody, hepatitis A antibody)* | 11 469 |
| Aminophylline (Theophylline)* | 167 |
| Anti-DNA* | 1822 |
| Diphenylhydantoin (Phenytoin), quantitative (Dilantin)* | 2424 |
| Insulin* | 802 |
| LH (luteinizing hormone) | 3091 |
| Ferritin* | 17 240 |
| Parathyroid hormone* | 7256 |
| Progesterone* | 908 |
| Prolactin* | 3104 |
| 17‐OH Progesterone* | 308 |
| IgE* ‐ not to be billed for RAST test | 1131 |
| T4, free ‐ absolute (includes T‐4 total)* | 11 888 |
| Testosterone | 12 767 |
| TSH (thyroid stimulating hormone)* | 30 406 |
| Phenobarbitone* | 363 |
| Vitamin B12* | 10 897 |
| C-peptide immunoreactivity* | 1084 |
| Dehydroepiandrosterone sulfate (DHEAS)* | 664 |
| 25-hydroxy vitamin D* | 7703 |
| T‐3, free* | 6350 |
| Thyroglobulin* | 2466 |
| Alphafetoprotein | 942 |
| Hormone receptors for carcinoma (to include estrogen and/or progesterone assays)* | 793 |
| Total | 3 274 901 |
| Type of Test . | Number performed (per year) . |
|---|---|
| Acetone, quantitative* | 448 |
| Albumin, quantitative* | 125 360 |
| Alcohol, ethyl-quantitative* | 5010 |
| Alcohol, fractionation and quantification* | 5889 |
| Amylase* | 21477 |
| Barbiturates, quantitative* | 13 898 |
| Barbiturates, fractionation and quantification (serum) – includes other drugs requiring similar methodology (e.g. tricyclic antidepressants)* | 704 |
| Bilirubin, total* | 72 000 |
| Bilirubin, conjugated* | 22 545 |
| pH* | 20 |
| pCO2, pO2 and pH in combination* | 62 757 |
| Carbamazepine, quantitative (Tegretol)* | 504 |
| Chlordiazepoxide, quantitative (Librium)* | 10 |
| Calcium* | 91 723 |
| Calcium ionized* | 9676 |
| Catecholamines, fractionated* | 2485 |
| Chloride* | 227 057 |
| Cholesterol, total* | 34 663 |
| Acetaminophen* | 5036 |
| Carboxyhemoglobin* | 4 |
| CO2 content, CO2 combining power, bicarbonate (measured not calculated)* | 219 783 |
| Creatine phosphokinase* | 63 914 |
| Creatinine* | 257 139 |
| Creatinine clearance* | 4884 |
| Target drug testing, urine, qualitative or quantitative* | 37 691 |
| Diazepam, quantitative (Valium, Vivol)* | 37 |
| Drugs of abuse screen, urine* | 48 |
| Broad spectrum toxicology screen, urine – includes confirmatory testing* | 7399 |
| Electrophoresis, serum – including total protein | 7556 |
| Electrophoresis, other than serum – including total protein* | 599 |
| Glycosylated hemoglobin – Hgb A1* | 19 394 |
| Flurzepam, quantitative (Dalmane)* | 0 |
| Glucose tolerance test in pregnancy* | 2694 |
| Glucose tolerance test* | 973 |
| Gamma glutamyl transpeptidase* | 7705 |
| Glucose, quantitative (not by dipstick)* | 188 863 |
| Glucose, semiquantitative (dipstick if read with reflectance meter)* | 46 538 |
| High density lipoprotein cholesterol* | 32 179 |
| 5H1AA quantification – U* | 1554 |
| Hemoglobin A2 by chromatography* | 2030 |
| Iron, total – with iron binding capacity and percent saturation* | 21 054 |
| Lactic acid (lactate)* | 13 733 |
| Lactic dehydrogenase (L.D.H), total* | 19 245 |
| Lipase | 1475 |
| Lipoprotein, electrophoresis* | 3 |
| Lipoprotein, ultracentrifugation* | 499 |
| Lithium* | 866 |
| Lidocaine* | 86 |
| Methotrexate (amethopterin)* | 115 |
| N-acetylprocainamide* | 74 |
| Magnesium* | 84 408 |
| Metanephrines, total – U* | 2712 |
| Methemoglobin* | 77 |
| Myoglobin, quantitative – U* | 176 |
| Occult blood* | 4293 |
| Osmolality (osmolarity)* | 10 044 |
| Oxalic acid (Oxalate) – U* | 3104 |
| Phenothiazines, quantitive – U* | 69 |
| Phosphatase, alkaline* | 82 037 |
| Phosphatase, alkaline fractionation* | 62 |
| Phosphorus (inorganic phosphate)* | 86 956 |
| Plasma hemoglobin* | 44 |
| Potassium* | 235 045 |
| Protein, total* | 110 937 |
| Primidone, quantitative (Mysoline)* | 420 |
| Procainamide* | 71 |
| Quinidine* | 18 |
| Salicylate, quantitative* | 4875 |
| SGOT (AST)* | 88 095 |
| SGPT (ALT)* | 80 304 |
| Sodium* | 237 209 |
| Thiocyanates* | 15 |
| Triglycerides* | 33426 |
| Urea Nitrogen (B.U.N.)* | 201 706 |
| Uric Acid (urate)* | 23 038 |
| Urinalysis, routine chemical (any of S.G., pH, protein, sugar, hemoglobin, ketones, urobilinogen, bilirubin, leukocyte esterase, nitrite)* | 37 534 |
| Urinalysis microscopic examination of centrifuged specimen* | 11 497 |
| Valproic acid (valproate)* | 1154 |
| VMA, Vanillylmandelic acid (Vanillylmandelate)* | 1212 |
| Biochemical assays not included above* | 7844 |
| Prostate specific antigen (PSA), total | 1063 |
| Alpha Glycoprotein Subunit | 179 |
| Amylase isoenzymes | 535 |
| Apolipoproteins A and B | 12 478 |
| FK506 (Tacrolimus) | 8577 |
| Lipoprotein (a) | 792 |
| Prostate specific antigen (PSA), total | 4258 |
| Troponin | 44 477 |
| Homocysteine | 1585 |
| Chylomicrons | 4 |
| Oligoclonal banding | 1437 |
| Citrate | 2967 |
| Sirolimus (Rapamycin) | 526 |
| Natriuretic peptide – Brain (BNP) | 3201 |
| Foetal fibronectin | 16 |
| Bioavailable testosterone | 12 886 |
| Aldosterone* | 3059 |
| Cortisol* | 3470 |
| Aminoglycosides (e.g. Gentamicin, Tobramycin)* | 1108 |
| Androsternedione* | 1215 |
| Digoxin* | 1103 |
| ACTH (andrenocorticotrophic hormone)* | 1520 |
| Folate, in red cells, to include hematocrite and if requested, serum folate* | 7710 |
| Estradiol* | 1914 |
| FSH (pituitary gonadotropins)* | 2807 |
| Growth hormone* | 2343 |
| HCG (human chorionic gonadotropins)* | 9848 |
| Hepatitis associated antigen or antibody immuno-assay ‐ per assay (e.g. hepatitis B surface antigen or antibody, hepatitis B core antibody, hepatitis A antibody)* | 11 469 |
| Aminophylline (Theophylline)* | 167 |
| Anti-DNA* | 1822 |
| Diphenylhydantoin (Phenytoin), quantitative (Dilantin)* | 2424 |
| Insulin* | 802 |
| LH (luteinizing hormone) | 3091 |
| Ferritin* | 17 240 |
| Parathyroid hormone* | 7256 |
| Progesterone* | 908 |
| Prolactin* | 3104 |
| 17‐OH Progesterone* | 308 |
| IgE* ‐ not to be billed for RAST test | 1131 |
| T4, free ‐ absolute (includes T‐4 total)* | 11 888 |
| Testosterone | 12 767 |
| TSH (thyroid stimulating hormone)* | 30 406 |
| Phenobarbitone* | 363 |
| Vitamin B12* | 10 897 |
| C-peptide immunoreactivity* | 1084 |
| Dehydroepiandrosterone sulfate (DHEAS)* | 664 |
| 25-hydroxy vitamin D* | 7703 |
| T‐3, free* | 6350 |
| Thyroglobulin* | 2466 |
| Alphafetoprotein | 942 |
| Hormone receptors for carcinoma (to include estrogen and/or progesterone assays)* | 793 |
| Total | 3 274 901 |