| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87905 |
|
128 |
127 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
221 |
220 |
$34.90 |
| 87210 |
|
136 |
135 |
$5.47 |
| 84439 |
|
12 |
12 |
$0.00 |
| 86708 |
|
25 |
25 |
$0.00 |
| 85610 |
|
582 |
429 |
$0.00 |
| 82947 |
|
543 |
216 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
110 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
201 |
195 |
$0.00 |
| 87186 |
|
60 |
60 |
$0.00 |
| 84100 |
|
207 |
70 |
$0.00 |
| 80061 |
Lipid panel |
63 |
59 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$0.00 |
| 82805 |
|
47 |
25 |
$0.00 |
| 85049 |
|
20 |
12 |
$0.00 |
| 81003 |
|
36 |
36 |
$0.00 |
| 84145 |
|
45 |
34 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 83880 |
|
158 |
144 |
$0.00 |
| 83735 |
|
551 |
278 |
$0.00 |
| 84484 |
|
445 |
388 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
75 |
71 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,199 |
978 |
$0.00 |
| 85379 |
|
54 |
53 |
$0.00 |
| 85730 |
|
387 |
333 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
898 |
622 |
$0.00 |
| 85027 |
|
795 |
605 |
$0.00 |
| 86901 |
|
42 |
38 |
$0.00 |
| 87205 |
|
37 |
33 |
$0.00 |
| 87077 |
|
177 |
172 |
$0.00 |
| 84703 |
|
387 |
378 |
$0.00 |
| 87081 |
|
363 |
360 |
$0.00 |
| 87040 |
|
145 |
126 |
$0.00 |
| 83605 |
|
117 |
93 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
352 |
340 |
$0.00 |
| 87340 |
|
32 |
30 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
84 |
$0.00 |
| 81001 |
|
679 |
658 |
$0.00 |
| 86706 |
|
26 |
26 |
$0.00 |
| 86141 |
|
37 |
32 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
577 |
296 |
$0.00 |
| 86704 |
|
26 |
26 |
$0.00 |
| 82550 |
|
81 |
70 |
$0.00 |
| 82553 |
|
30 |
30 |
$0.00 |
| 83690 |
|
303 |
292 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
16 |
15 |
$0.00 |
| 87070 |
|
35 |
32 |
$0.00 |
| 86850 |
|
37 |
33 |
$0.00 |
| 85652 |
|
16 |
16 |
$0.00 |