| Code | Description | Claims | Beneficiaries | Total Paid |
| 84378 |
|
126 |
125 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
196 |
187 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
137 |
135 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
272 |
254 |
$0.00 |
| 82043 |
|
132 |
132 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
156 |
154 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
200 |
188 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
142 |
140 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
165 |
164 |
$0.00 |
| 86592 |
|
145 |
144 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
38 |
$0.00 |
| 80061 |
Lipid panel |
154 |
152 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
156 |
154 |
$0.00 |
| 80074 |
|
126 |
125 |
$0.00 |
| 81003 |
|
173 |
167 |
$0.00 |