| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
228 |
220 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
112 |
112 |
$2K |
| 80050 |
General health panel |
31 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
965 |
907 |
$1K |
| 80061 |
Lipid panel |
141 |
139 |
$920.32 |
| 99000 |
|
415 |
401 |
$873.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
218 |
$427.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
179 |
177 |
$417.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
103 |
99 |
$404.14 |
| 82950 |
|
13 |
13 |
$173.53 |
| 82043 |
|
12 |
12 |
$132.51 |
| 82570 |
|
12 |
12 |
$0.00 |