| Code | Description | Claims | Beneficiaries | Total Paid |
| 3078F |
|
87 |
79 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
477 |
434 |
$0.00 |
| 1111F |
|
36 |
32 |
$0.00 |
| 3074F |
|
66 |
61 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |