| Code | Description | Claims | Beneficiaries | Total Paid |
| 99205 |
Prolong outpt/office vis |
17 |
16 |
$3K |
| 1111F |
|
45 |
42 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
140 |
137 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,475 |
1,325 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
92 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
41 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
736 |
694 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
915 |
869 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
624 |
619 |
$0.00 |
| 3044F |
|
76 |
76 |
$0.00 |
| 3074F |
|
166 |
148 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 85027 |
|
15 |
15 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
721 |
603 |
$0.00 |
| 80061 |
Lipid panel |
454 |
451 |
$0.00 |
| 3078F |
|
244 |
219 |
$0.00 |
| 82274 |
|
15 |
15 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |