| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87086 |
Culture, bacterial; quantitative colony count, urine |
154 |
147 |
$3.69 |
| 87070 |
|
30 |
30 |
$2.76 |
| 81025 |
|
170 |
161 |
$0.22 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
58 |
37 |
$0.00 |
| 81001 |
|
299 |
281 |
$0.00 |
| 83605 |
|
14 |
14 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
343 |
291 |
$0.00 |
| 84484 |
|
50 |
48 |
$0.00 |
| 83690 |
|
96 |
89 |
$0.00 |
| 82550 |
|
31 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
279 |
245 |
$0.00 |
| 82962 |
|
94 |
33 |
$0.00 |
| 85027 |
|
53 |
37 |
$0.00 |
| 86901 |
|
40 |
31 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 82247 |
|
85 |
58 |
$0.00 |
| 86900 |
|
40 |
31 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
25 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$0.00 |