| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
183 |
178 |
$0.00 |
| 82043 |
|
120 |
119 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
198 |
193 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
103 |
102 |
$0.00 |
| 84436 |
|
120 |
117 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
153 |
$0.00 |
| 86592 |
|
83 |
82 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
129 |
126 |
$0.00 |
| 81001 |
|
180 |
178 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
67 |
66 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
103 |
102 |
$0.00 |
| 80061 |
Lipid panel |
160 |
157 |
$0.00 |
| 84481 |
|
118 |
115 |
$0.00 |
| 80074 |
|
61 |
60 |
$0.00 |