| Code | Description | Claims | Beneficiaries | Total Paid |
| 1220F |
|
47 |
46 |
$0.00 |
| 3008F |
|
43 |
42 |
$0.00 |
| 81001 |
|
14 |
14 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$0.00 |
| 1033F |
|
32 |
30 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |