| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
57 |
54 |
$558.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
555 |
309 |
$53.10 |
| 80053 |
Comprehensive metabolic panel |
302 |
199 |
$50.47 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
206 |
118 |
$23.08 |
| 84484 |
|
77 |
66 |
$20.13 |
| 83690 |
|
111 |
95 |
$9.40 |
| 81003 |
|
80 |
78 |
$4.59 |
| 81025 |
|
42 |
42 |
$4.32 |
| 81001 |
|
123 |
114 |
$4.32 |
| 84702 |
|
81 |
75 |
$0.00 |
| 85610 |
|
107 |
80 |
$0.00 |
| 86900 |
|
60 |
53 |
$0.00 |
| 83605 |
|
70 |
60 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |
| 83735 |
|
158 |
59 |
$0.00 |
| 85027 |
|
43 |
24 |
$0.00 |
| 85730 |
|
46 |
42 |
$0.00 |
| 86901 |
|
60 |
53 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
26 |
$0.00 |