| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
28 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
48 |
47 |
$3.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
125 |
$2.76 |
| 86900 |
|
46 |
34 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 84703 |
|
15 |
15 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
36 |
$0.00 |
| 87807 |
|
14 |
14 |
$0.00 |
| 82962 |
|
28 |
13 |
$0.00 |
| 85027 |
|
35 |
26 |
$0.00 |
| 81001 |
|
96 |
90 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
94 |
89 |
$0.00 |
| 86901 |
|
46 |
34 |
$0.00 |
| 86850 |
|
35 |
33 |
$0.00 |
| 83690 |
|
29 |
28 |
$0.00 |
| 84484 |
|
14 |
13 |
$0.00 |