| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
30 |
$315.79 |
| 81003 |
|
75 |
73 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
34 |
$0.00 |
| 80061 |
Lipid panel |
81 |
79 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
69 |
67 |
$0.00 |
| 86592 |
|
39 |
37 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
34 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33 |
31 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
91 |
88 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
91 |
89 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
70 |
$0.00 |