| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83735 |
|
89 |
56 |
$15.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
591 |
432 |
$14.32 |
| 83690 |
|
118 |
108 |
$7.96 |
| 83615 |
|
17 |
12 |
$6.98 |
| 86901 |
|
191 |
118 |
$4.68 |
| 86880 |
|
38 |
31 |
$2.34 |
| 86900 |
|
191 |
118 |
$1.76 |
| 82947 |
|
183 |
111 |
$1.72 |
| 86592 |
|
68 |
52 |
$1.38 |
| 80047 |
|
30 |
29 |
$0.00 |
| 87340 |
|
50 |
38 |
$0.00 |
| 87430 |
|
53 |
46 |
$0.00 |
| 86885 |
|
134 |
99 |
$0.00 |
| 87081 |
|
56 |
48 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
129 |
110 |
$0.00 |
| 87480 |
|
13 |
13 |
$0.00 |
| 87040 |
|
28 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
263 |
220 |
$0.00 |
| 85018 |
|
100 |
86 |
$0.00 |
| 84132 |
|
32 |
28 |
$0.00 |
| 81001 |
|
212 |
193 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
57 |
49 |
$0.00 |
| 84484 |
|
67 |
48 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
83 |
74 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$0.00 |
| 87077 |
|
17 |
16 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
69 |
53 |
$0.00 |
| 82803 |
|
19 |
15 |
$0.00 |
| 87510 |
|
13 |
13 |
$0.00 |
| 82435 |
|
21 |
20 |
$0.00 |
| 82330 |
|
29 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
83 |
74 |
$0.00 |
| 81002 |
|
57 |
47 |
$0.00 |
| 85014 |
|
74 |
62 |
$0.00 |
| 81003 |
|
190 |
151 |
$0.00 |
| 81025 |
|
291 |
245 |
$0.00 |
| 84520 |
|
21 |
20 |
$0.00 |
| 87210 |
|
18 |
17 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
114 |
82 |
$0.00 |
| 82565 |
|
22 |
21 |
$0.00 |
| 84295 |
|
29 |
26 |
$0.00 |
| 82374 |
|
21 |
20 |
$0.00 |
| 87660 |
|
13 |
13 |
$0.00 |
| 87186 |
|
16 |
15 |
$0.00 |
| 84702 |
|
16 |
14 |
$0.00 |