| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
296 |
289 |
$30K |
| 88304 |
|
13 |
13 |
$511.62 |
| 87400 |
|
43 |
43 |
$31.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
353 |
218 |
$20.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$15.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
153 |
105 |
$10.96 |
| 82040 |
|
95 |
81 |
$6.41 |
| 81003 |
|
58 |
55 |
$2.90 |
| 84439 |
|
14 |
13 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
67 |
61 |
$0.00 |
| 86756 |
|
15 |
15 |
$0.00 |
| 85610 |
|
21 |
17 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
14 |
$0.00 |
| 83880 |
|
17 |
15 |
$0.00 |
| 81001 |
|
78 |
68 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
206 |
146 |
$0.00 |
| 84484 |
|
68 |
54 |
$0.00 |
| 82962 |
|
40 |
13 |
$0.00 |
| 85730 |
|
16 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
45 |
$0.00 |
| 83735 |
|
77 |
37 |
$0.00 |
| 83690 |
|
72 |
59 |
$0.00 |
| 84703 |
|
54 |
52 |
$0.00 |
| 87081 |
|
17 |
17 |
$0.00 |
| 83605 |
|
34 |
30 |
$0.00 |
| 87040 |
|
15 |
14 |
$0.00 |