| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84439 |
|
373 |
140 |
$5.62 |
| 85652 |
|
410 |
140 |
$1.69 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
392 |
150 |
$0.00 |
| 82746 |
|
228 |
87 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
154 |
66 |
$0.00 |
| 85027 |
|
1,083 |
399 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
297 |
100 |
$0.00 |
| 82728 |
|
184 |
71 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,161 |
411 |
$0.00 |
| 81000 |
|
220 |
84 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
937 |
348 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
490 |
186 |
$0.00 |
| 87070 |
|
272 |
99 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
81 |
29 |
$0.00 |
| 82607 |
|
370 |
144 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,375 |
511 |
$0.00 |
| 86850 |
|
608 |
232 |
$0.00 |
| 87340 |
|
689 |
262 |
$0.00 |
| 86706 |
|
84 |
28 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,291 |
494 |
$0.00 |
| 87077 |
|
285 |
109 |
$0.00 |
| 88142 |
|
231 |
79 |
$0.00 |
| 83880 |
|
58 |
27 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,288 |
776 |
$0.00 |
| 86901 |
|
497 |
190 |
$0.00 |
| 84436 |
|
124 |
42 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,403 |
849 |
$0.00 |
| 82952 |
|
290 |
99 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,636 |
1,248 |
$0.00 |
| 83735 |
|
263 |
95 |
$0.00 |
| 86803 |
|
685 |
261 |
$0.00 |
| 87510 |
|
222 |
84 |
$0.00 |
| 86140 |
|
298 |
108 |
$0.00 |
| 80050 |
General health panel |
616 |
227 |
$0.00 |
| 86762 |
|
473 |
182 |
$0.00 |
| 87081 |
|
191 |
65 |
$0.00 |
| 83550 |
|
151 |
58 |
$0.00 |
| 87480 |
|
222 |
84 |
$0.00 |
| 86704 |
|
37 |
13 |
$0.00 |
| 82043 |
|
185 |
66 |
$0.00 |
| 82105 |
|
37 |
12 |
$0.00 |
| 84480 |
|
36 |
12 |
$0.00 |
| 80349 |
|
64 |
14 |
$0.00 |
| 87088 |
|
72 |
26 |
$0.00 |
| 81001 |
|
45 |
15 |
$0.00 |
| 83540 |
|
221 |
84 |
$0.00 |
| 80061 |
Lipid panel |
1,533 |
561 |
$0.00 |
| 80076 |
|
373 |
139 |
$0.00 |
| 87660 |
|
222 |
84 |
$0.00 |
| 84702 |
|
398 |
135 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
457 |
186 |
$0.00 |
| 86900 |
|
494 |
189 |
$0.00 |
| 80361 |
|
229 |
78 |
$0.00 |
| 87186 |
|
436 |
167 |
$0.00 |
| 85610 |
|
449 |
130 |
$0.00 |
| 84550 |
|
169 |
69 |
$0.00 |
| 82565 |
|
63 |
24 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
157 |
67 |
$0.00 |
| 80346 |
|
173 |
53 |
$0.00 |
| 82570 |
|
292 |
112 |
$0.00 |
| 80348 |
|
842 |
196 |
$0.00 |
| 84156 |
|
69 |
25 |
$0.00 |
| 80074 |
|
37 |
15 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
204 |
66 |
$0.00 |
| 80164 |
|
42 |
16 |
$0.00 |