| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87070 |
|
183 |
181 |
$2.63 |
| 86901 |
|
95 |
89 |
$2.46 |
| 86900 |
|
95 |
89 |
$0.92 |
| 81025 |
|
276 |
264 |
$0.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
163 |
$0.00 |
| 87186 |
|
14 |
14 |
$0.00 |
| 85610 |
|
16 |
15 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
58 |
55 |
$0.00 |
| 82247 |
|
88 |
48 |
$0.00 |
| 85007 |
|
20 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 87210 |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
515 |
427 |
$0.00 |
| 86140 |
|
55 |
48 |
$0.00 |
| 83690 |
|
107 |
102 |
$0.00 |
| 84484 |
|
63 |
57 |
$0.00 |
| 86850 |
|
50 |
48 |
$0.00 |
| 83735 |
|
62 |
27 |
$0.00 |
| 85027 |
|
169 |
133 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
128 |
126 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 87040 |
|
48 |
47 |
$0.00 |
| 87077 |
|
64 |
60 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
168 |
109 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
549 |
460 |
$0.00 |
| 82962 |
|
222 |
100 |
$0.00 |
| 81001 |
|
463 |
434 |
$0.00 |
| 87147 |
|
15 |
14 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 85652 |
|
14 |
14 |
$0.00 |