| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
380 |
271 |
$459.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
436 |
310 |
$375.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
204 |
126 |
$200.18 |
| 85027 |
|
283 |
164 |
$141.25 |
| 83735 |
|
160 |
67 |
$135.68 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$129.85 |
| 84484 |
|
96 |
84 |
$129.31 |
| 83690 |
|
126 |
110 |
$108.00 |
| 81003 |
|
241 |
225 |
$55.77 |
| 85610 |
|
115 |
75 |
$55.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
44 |
44 |
$38.34 |
| 83605 |
|
14 |
14 |
$22.35 |
| 85730 |
|
29 |
24 |
$21.39 |
| 86901 |
|
42 |
35 |
$7.35 |
| 86900 |
|
42 |
35 |
$7.05 |
| 86850 |
|
32 |
28 |
$5.10 |