| Code | Description | Claims | Beneficiaries | Total Paid |
| 3074F |
|
83 |
77 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
400 |
349 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
62 |
58 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
38 |
$0.00 |
| 1111F |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| 3078F |
|
167 |
153 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$0.00 |