| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
40 |
$6.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
693 |
471 |
$5.52 |
| 83605 |
|
56 |
53 |
$4.56 |
| 83735 |
|
88 |
37 |
$2.89 |
| 81002 |
|
67 |
60 |
$2.23 |
| 86880 |
|
15 |
15 |
$0.00 |
| 87480 |
|
13 |
13 |
$0.00 |
| 84484 |
|
65 |
55 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
330 |
281 |
$0.00 |
| 86140 |
|
63 |
54 |
$0.00 |
| 86850 |
|
172 |
156 |
$0.00 |
| 85730 |
|
30 |
27 |
$0.00 |
| 83615 |
|
61 |
42 |
$0.00 |
| 80047 |
|
107 |
90 |
$0.00 |
| 87205 |
|
30 |
27 |
$0.00 |
| 82962 |
|
435 |
131 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
39 |
38 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
387 |
196 |
$0.00 |
| 82803 |
|
223 |
110 |
$0.00 |
| 83690 |
|
98 |
90 |
$0.00 |
| 81001 |
|
310 |
290 |
$0.00 |
| 87040 |
|
49 |
45 |
$0.00 |
| 85652 |
|
29 |
28 |
$0.00 |
| 87081 |
|
81 |
81 |
$0.00 |
| 87510 |
|
13 |
13 |
$0.00 |
| 84703 |
|
54 |
52 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
109 |
107 |
$0.00 |
| 86901 |
|
212 |
170 |
$0.00 |
| 87077 |
|
37 |
34 |
$0.00 |
| 87070 |
|
30 |
27 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
49 |
$0.00 |
| 87807 |
|
29 |
29 |
$0.00 |
| 87147 |
|
12 |
12 |
$0.00 |
| 85027 |
|
223 |
153 |
$0.00 |
| 85610 |
|
55 |
49 |
$0.00 |
| 84550 |
|
55 |
40 |
$0.00 |
| 84100 |
|
41 |
15 |
$0.00 |
| 85014 |
|
142 |
105 |
$0.00 |
| 80076 |
|
78 |
62 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
39 |
38 |
$0.00 |
| 82570 |
|
41 |
35 |
$0.00 |
| 81003 |
|
101 |
80 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$0.00 |
| 81025 |
|
94 |
91 |
$0.00 |
| 87660 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
101 |
$0.00 |
| 82247 |
|
58 |
18 |
$0.00 |
| 84702 |
|
31 |
28 |
$0.00 |
| 86900 |
|
209 |
167 |
$0.00 |
| 87186 |
|
50 |
47 |
$0.00 |
| 82565 |
|
56 |
41 |
$0.00 |
| 87641 |
|
103 |
79 |
$0.00 |