This is trivial, given that there are only a couple of federated diagnostic testing services in her area.
Looks like a bacterial infection of some kind, although they also checked for Pappilomavirus, two other STDs, and a fungal yeast infection, BVAB2, and strep.
87481 SureSwab ®, Vaginosis/Vaginitis Plus
87481 SureSwab ®, Bacterial Vaginosis/Vaginitis
87491 SureSwab ®, Vaginosis/Vaginitis Plus
87491 SureSwab ®, CT/NG, T. vaginalis
87491 Chlamydia/Neisseria gonorrhoeae, T. vaginalis, Qualitative, TMA and HSV 1/2 DNA, Real-Time PCR, Pap Vial
87491 Chlamydia/N. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial
87798 SureSwab ®, Trichomonas vaginalis RNA, Qualitative, TMA
87798 SureSwab ®, Vaginosis/Vaginitis Plus
87798 SureSwab ®, CT/NG, T. vaginalis
87798 Trichomonas vaginalis RNA, Qualitative, TMA, PAP Vial
87798 Chlamydia/N. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial
87798 Chlamydia/Neisseria gonorrhoeae, T. vaginalis, Qualitative, TMA and HSV 1/2 DNA, Real-Time PCR, Pap Vial
MEDICAL DIAGNOSTIC LABORATORIES, L.L.C.
105 Chlamydia trachomatis
127 Group B Streptococcus (GBS)
164 Bacterial Vaginosis Associated Bacteria 2 (BVAB2)
These are probably not test codes that she should have published, given their sensitive nature.
I do agree with her assertion that medical billing is kind of terrible.
On the other hand, they intentionally make billing and coding as difficult as possible so that the doctors office has to correctly code it to the insurance companies liking before they are obligated to pay. Usually a medical office will try a couple of times, and then give up if they don't hit pay dirt, and just send the bill to the patient, and let them argue with the insurance company long enough to damage their credit for non-payment, or pay it out of pocket to save their credit.
HMOs are absolutely the worst for this, followed by PPOs.
I would have much preferred a single payer system, like Richard Nixon wanted (he was the first president to propose a national health care system), rather than the TARP III bailout for the insurance companies which we ended up getting with the ACA.