| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
78 |
78 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
90 |
89 |
$700.31 |
| 81001 |
|
60 |
59 |
$110.00 |
| 81003 |
|
30 |
30 |
$51.33 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
108 |
100 |
$0.00 |
| 84703 |
|
30 |
29 |
$0.00 |
| 83605 |
|
21 |
19 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
154 |
134 |
$0.00 |
| 84484 |
|
19 |
19 |
$0.00 |
| 82077 |
|
49 |
48 |
$0.00 |
| 83735 |
|
29 |
24 |
$0.00 |
| 80179 |
|
39 |
38 |
$0.00 |
| 80143 |
|
39 |
38 |
$0.00 |