| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
843 |
507 |
$991.75 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
362 |
209 |
$446.35 |
| 80053 |
Comprehensive metabolic panel |
277 |
197 |
$446.09 |
| 84484 |
|
118 |
100 |
$177.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
56 |
$148.73 |
| 83690 |
|
131 |
114 |
$138.08 |
| 85730 |
|
127 |
114 |
$115.35 |
| 81001 |
|
229 |
212 |
$111.81 |
| 80076 |
|
103 |
96 |
$107.05 |
| 85610 |
|
162 |
118 |
$93.87 |
| 87040 |
|
58 |
56 |
$83.12 |
| 83605 |
|
36 |
32 |
$49.79 |
| 81003 |
|
119 |
112 |
$40.05 |
| 84703 |
|
35 |
34 |
$37.99 |
| 82550 |
|
13 |
12 |
$14.95 |
| 87070 |
|
16 |
15 |
$14.90 |
| 85027 |
|
17 |
13 |
$13.63 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
14 |
$12.55 |
| 86140 |
|
16 |
12 |
$11.96 |
| 85007 |
|
21 |
12 |
$8.64 |
| 86901 |
|
12 |
12 |
$5.51 |