| Code | Description | Claims | Beneficiaries | Total Paid |
| 86780 |
|
13 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
17 |
$0.00 |
| 80050 |
General health panel |
51 |
51 |
$0.00 |
| 83735 |
|
20 |
19 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
32 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
54 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
163 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19 |
19 |
$0.00 |
| 82607 |
|
30 |
29 |
$0.00 |
| 82728 |
|
16 |
16 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
18 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
72 |
72 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
50 |
50 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 84466 |
|
17 |
17 |
$0.00 |
| 83540 |
|
18 |
18 |
$0.00 |
| 84702 |
|
15 |
13 |
$0.00 |
| 80061 |
Lipid panel |
66 |
66 |
$0.00 |
| 84439 |
|
43 |
43 |
$0.00 |