| Code | Description | Claims | Bene. Records | Total Paid |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
501 |
354 |
$88K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,469 |
2,019 |
$67K |
| 82728 |
|
1,302 |
1,184 |
$40K |
| 83550 |
|
1,187 |
1,092 |
$24K |
| 83540 |
|
1,198 |
1,101 |
$19K |
| 80053 |
Comprehensive metabolic panel |
278 |
220 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
934 |
686 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
13 |
12 |
$4K |
| 82607 |
|
12 |
12 |
$371.95 |
| 85027 |
|
13 |
12 |
$161.88 |