| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88307 |
|
305 |
269 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
596 |
530 |
$12K |
| 88304 |
|
208 |
186 |
$2K |
| 88342 |
|
59 |
56 |
$960.65 |
| 88302 |
|
16 |
12 |
$96.11 |
| 80076 |
|
219 |
128 |
$0.00 |
| 80061 |
Lipid panel |
161 |
111 |
$0.00 |
| 85610 |
|
685 |
276 |
$0.00 |
| 82248 |
|
189 |
82 |
$0.00 |
| 87186 |
|
96 |
54 |
$0.00 |
| 84100 |
|
137 |
43 |
$0.00 |
| 82247 |
|
185 |
80 |
$0.00 |
| 81003 |
|
128 |
71 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
85 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
44 |
$0.00 |
| 85014 |
|
26 |
12 |
$0.00 |
| 84439 |
|
29 |
16 |
$0.00 |
| 80202 |
|
31 |
12 |
$0.00 |
| 83690 |
|
371 |
206 |
$0.00 |
| 83735 |
|
675 |
203 |
$0.00 |
| 87070 |
|
246 |
124 |
$0.00 |
| 82550 |
|
191 |
102 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
274 |
177 |
$0.00 |
| 87040 |
|
319 |
158 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
983 |
433 |
$0.00 |
| 84703 |
|
297 |
154 |
$0.00 |
| 82803 |
|
347 |
120 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
251 |
164 |
$0.00 |
| 83880 |
|
374 |
182 |
$0.00 |
| 85730 |
|
354 |
121 |
$0.00 |
| 83605 |
|
355 |
169 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,346 |
524 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
163 |
95 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,740 |
880 |
$0.00 |
| 81001 |
|
715 |
390 |
$0.00 |
| 87077 |
|
111 |
62 |
$0.00 |
| 85027 |
|
2,430 |
873 |
$0.00 |
| 86880 |
|
101 |
66 |
$0.00 |
| 85018 |
|
26 |
14 |
$0.00 |
| 84484 |
|
1,073 |
517 |
$0.00 |
| 87205 |
|
164 |
80 |
$0.00 |
| 85379 |
|
23 |
12 |
$0.00 |
| 87807 |
|
43 |
22 |
$0.00 |