| Code | Description | Claims | Beneficiaries | Total Paid |
| 86140 |
|
105 |
47 |
$0.00 |
| 85027 |
|
1,753 |
765 |
$0.00 |
| 81001 |
|
682 |
310 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
164 |
75 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
100 |
49 |
$0.00 |
| 83735 |
|
155 |
43 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
286 |
139 |
$0.00 |
| 86901 |
|
217 |
94 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
311 |
165 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,230 |
572 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
406 |
216 |
$0.00 |
| 86850 |
|
109 |
47 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
12 |
$0.00 |
| 84484 |
|
71 |
35 |
$0.00 |
| 00000 |
|
260 |
13 |
$0.00 |
| 84703 |
|
57 |
27 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
40 |
$0.00 |
| 87077 |
|
54 |
25 |
$0.00 |
| 83690 |
|
60 |
28 |
$0.00 |
| 86900 |
|
217 |
94 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
459 |
245 |
$0.00 |
| 87186 |
|
50 |
24 |
$0.00 |
| 87634 |
|
131 |
14 |
$0.00 |
| 80061 |
Lipid panel |
89 |
44 |
$0.00 |
| 82247 |
|
182 |
50 |
$0.00 |
| 81025 |
|
63 |
31 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
129 |
67 |
$0.00 |
| 85610 |
|
36 |
13 |
$0.00 |
| 84100 |
|
34 |
12 |
$0.00 |