| Code | Description | Claims | Bene. Records | Total Paid |
| 84443 |
Thyroid stimulating hormone (TSH) |
408 |
385 |
$0.00 |
| 82746 |
|
86 |
84 |
$0.00 |
| 82607 |
|
109 |
105 |
$0.00 |
| 87040 |
|
52 |
46 |
$0.00 |
| 82728 |
|
44 |
42 |
$0.00 |
| 86060 |
|
12 |
12 |
$0.00 |
| 84484 |
|
15 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
272 |
166 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
73 |
70 |
$0.00 |
| 83690 |
|
316 |
283 |
$0.00 |
| 83880 |
|
83 |
78 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
333 |
305 |
$0.00 |
| 85730 |
|
129 |
110 |
$0.00 |
| 87800 |
|
62 |
59 |
$0.00 |
| 87070 |
|
350 |
333 |
$0.00 |
| 87807 |
|
96 |
93 |
$0.00 |
| 86901 |
|
126 |
110 |
$0.00 |
| 87071 |
|
116 |
109 |
$0.00 |
| 83605 |
|
77 |
62 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,232 |
1,070 |
$0.00 |
| 87077 |
|
136 |
125 |
$0.00 |
| 81001 |
|
336 |
312 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
163 |
$0.00 |
| 82150 |
|
25 |
25 |
$0.00 |
| 86850 |
|
78 |
68 |
$0.00 |
| 83735 |
|
204 |
140 |
$0.00 |
| 86140 |
|
32 |
30 |
$0.00 |
| 87449 |
|
13 |
13 |
$0.00 |
| 86403 |
|
15 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,443 |
1,175 |
$0.00 |
| 82550 |
|
74 |
70 |
$0.00 |
| 85652 |
|
52 |
51 |
$0.00 |
| 86701 |
|
13 |
13 |
$0.00 |
| 84466 |
|
97 |
93 |
$0.00 |
| 86900 |
|
79 |
69 |
$0.00 |
| 86677 |
|
19 |
19 |
$0.00 |
| 82570 |
|
56 |
56 |
$0.00 |
| 84439 |
|
308 |
292 |
$0.00 |
| 83540 |
|
99 |
94 |
$0.00 |
| 81003 |
|
218 |
201 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
73 |
70 |
$0.00 |
| 84100 |
|
40 |
35 |
$0.00 |
| 80061 |
Lipid panel |
300 |
285 |
$0.00 |
| 84702 |
|
258 |
232 |
$0.00 |
| 85610 |
|
224 |
191 |
$0.00 |
| 82565 |
|
19 |
19 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
227 |
$0.00 |
| 86431 |
|
13 |
13 |
$0.00 |
| 81025 |
|
35 |
33 |
$0.00 |
| 84156 |
|
13 |
13 |
$0.00 |
| 87186 |
|
118 |
107 |
$0.00 |
| 84550 |
|
16 |
16 |
$0.00 |
| 80076 |
|
17 |
14 |
$0.00 |