| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88189 |
|
22 |
22 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
43 |
42 |
$312.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 87640 |
|
30 |
29 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
30 |
29 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 87500 |
|
30 |
29 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
29 |
29 |
$0.00 |
| 87653 |
|
30 |
29 |
$0.00 |
| 87481 |
|
30 |
29 |
$0.00 |