| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3008F |
|
419 |
285 |
$0.00 |
| 2001F |
|
421 |
285 |
$0.00 |
| 2000F |
|
419 |
285 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
159 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
14 |
$0.00 |
| 3074F |
|
70 |
56 |
$0.00 |
| 1036F |
|
34 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
12 |
$0.00 |
| 85018 |
|
21 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 82607 |
|
19 |
12 |
$0.00 |
| 84479 |
|
20 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
20 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
12 |
$0.00 |
| 81000 |
|
19 |
13 |
$0.00 |
| 1160F |
|
74 |
47 |
$0.00 |
| 3078F |
|
107 |
86 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
85 |
$0.00 |
| 3725F |
|
20 |
13 |
$0.00 |
| 82274 |
|
19 |
12 |
$0.00 |
| 4035F |
|
33 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
12 |
$0.00 |
| 1159F |
|
107 |
72 |
$0.00 |
| 80061 |
Lipid panel |
21 |
14 |
$0.00 |