| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
377 |
366 |
$25K |
| 88307 |
|
62 |
60 |
$6K |
| 88312 |
|
121 |
118 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
315 |
241 |
$3K |
| 88304 |
|
12 |
12 |
$347.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
910 |
472 |
$224.09 |
| 80053 |
Comprehensive metabolic panel |
446 |
298 |
$180.61 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
389 |
230 |
$103.88 |
| 84484 |
|
182 |
142 |
$60.42 |
| 81025 |
|
89 |
88 |
$43.31 |
| 82962 |
|
151 |
58 |
$35.67 |
| 83690 |
|
133 |
115 |
$33.12 |
| 81001 |
|
178 |
168 |
$23.89 |
| 83880 |
|
44 |
42 |
$23.16 |
| 83735 |
|
326 |
97 |
$22.85 |
| 83605 |
|
111 |
84 |
$21.87 |
| 84702 |
|
54 |
49 |
$19.40 |
| 85027 |
|
174 |
65 |
$18.35 |
| 85730 |
|
164 |
128 |
$16.40 |
| 85610 |
|
243 |
168 |
$13.45 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
49 |
$5.64 |
| 81003 |
|
136 |
124 |
$4.59 |
| 82550 |
|
19 |
14 |
$4.44 |
| 86850 |
|
90 |
82 |
$1.43 |
| 86901 |
|
97 |
88 |
$0.91 |
| 86900 |
|
96 |
87 |
$0.31 |
| 87275 |
|
58 |
56 |
$0.00 |
| 80076 |
|
14 |
13 |
$0.00 |
| 80061 |
Lipid panel |
25 |
24 |
$0.00 |
| 87276 |
|
58 |
56 |
$0.00 |
| 87040 |
|
33 |
27 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |