| Code | Description | Claims | Beneficiaries | Total Paid |
| 3078F |
|
213 |
193 |
$0.00 |
| 1159F |
|
194 |
183 |
$0.00 |
| 98960 |
|
131 |
114 |
$0.00 |
| 1158F |
|
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
376 |
373 |
$0.00 |
| 84439 |
|
301 |
299 |
$0.00 |
| 82947 |
|
27 |
27 |
$0.00 |
| 82570 |
|
40 |
38 |
$0.00 |
| 81003 |
|
70 |
70 |
$0.00 |
| G9365 |
One high-risk medication ordered |
33 |
31 |
$0.00 |
| 3077F |
|
60 |
58 |
$0.00 |
| 1160F |
|
124 |
114 |
$0.00 |
| 82948 |
|
63 |
62 |
$0.00 |
| 3074F |
|
225 |
203 |
$0.00 |
| 94760 |
|
87 |
82 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
352 |
349 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| 3079F |
|
118 |
109 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
271 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
470 |
413 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
470 |
426 |
$0.00 |
| 1126F |
|
182 |
168 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
328 |
326 |
$0.00 |
| 3080F |
|
19 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
574 |
511 |
$0.00 |
| 82043 |
|
69 |
69 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
366 |
364 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 1125F |
|
102 |
95 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 81001 |
|
40 |
38 |
$0.00 |
| 3008F |
|
214 |
190 |
$0.00 |
| 3044F |
|
43 |
43 |
$0.00 |
| 3075F |
|
34 |
34 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$0.00 |