| Code | Description | Claims | Beneficiaries | Total Paid |
| 83036 |
Hemoglobin; glycosylated (A1C) |
479 |
479 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,109 |
1,093 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
71 |
71 |
$0.00 |
| 1111F |
|
96 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,444 |
1,392 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
507 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
102 |
101 |
$0.00 |
| 4450F |
|
240 |
236 |
$0.00 |
| 3044F |
|
90 |
90 |
$0.00 |
| 96161 |
|
274 |
273 |
$0.00 |
| 99441 |
|
153 |
131 |
$0.00 |
| 3074F |
|
395 |
372 |
$0.00 |
| 85027 |
|
65 |
65 |
$0.00 |
| 1220F |
|
115 |
114 |
$0.00 |
| 90686 |
|
90 |
90 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
473 |
468 |
$0.00 |
| 3078F |
|
374 |
353 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
105 |
$0.00 |
| 80061 |
Lipid panel |
561 |
557 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
858 |
806 |
$0.00 |
| 96160 |
|
157 |
157 |
$0.00 |
| G9920 |
Screening performed and negative |
814 |
812 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
140 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
87 |
$0.00 |
| 86703 |
|
24 |
24 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
37 |
$0.00 |
| 84460 |
|
25 |
25 |
$0.00 |
| 90473 |
|
26 |
26 |
$0.00 |