| Code | Description | Total Paid |
|---|---|---|
| P9016 | Red blood cells, leukocytes reduced, each unit | $125K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | $49K |
| 86922 | $42K | |
| 85060 | $22K | |
| 88307 | $22K | |
| 86920 | $10K | |
| 86921 | $10K | |
| 86900 | $6K | |
| 86901 | $6K | |
| 86850 | $6K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | BANCO DE SANGRE SERVICIOS MUTUOS INC | SAN JUAN, PR | 5,224 | $204K |
| 2 | LABORATORY PHYSICIANS ASSOCIATION | DALLAS, TX | 6,504 | $94K |
| 3 | VICTOR YU-CHING HSU, M.D., INC. | ORANGE, CA | 41 | $1K |