| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
214 |
200 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
85 |
85 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$0.00 |
| 86593 |
|
115 |
115 |
$0.00 |
| 87536 |
|
56 |
56 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
144 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
156 |
149 |
$0.00 |
| 88187 |
|
112 |
112 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
28 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
18 |
18 |
$0.00 |
| 80061 |
Lipid panel |
49 |
49 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
85 |
85 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
47 |
$0.00 |
| 82248 |
|
30 |
30 |
$0.00 |