| Code | Description | Claims | Beneficiaries | Total Paid |
| 3078F |
|
168 |
166 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
20 |
20 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
141 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
118 |
105 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
39 |
39 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
13 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |
| 3074F |
|
149 |
147 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
224 |
$0.00 |
| 3075F |
|
18 |
18 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
162 |
152 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$0.00 |