| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3078F |
|
252 |
231 |
$0.00 |
| 86703 |
|
99 |
98 |
$0.00 |
| 80061 |
Lipid panel |
161 |
161 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
152 |
138 |
$0.00 |
| 3074F |
|
184 |
170 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
319 |
291 |
$0.00 |
| 86780 |
|
81 |
81 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
89 |
88 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
595 |
540 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
129 |
$0.00 |
| 3044F |
|
41 |
41 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
230 |
229 |
$0.00 |
| 1111F |
|
51 |
49 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
201 |
181 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
135 |
$0.00 |
| 87340 |
|
52 |
52 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
26 |
$0.00 |
| 85027 |
|
13 |
12 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |