| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
93 |
93 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
683 |
615 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
171 |
167 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
67 |
$0.00 |
| 81001 |
|
60 |
56 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
59 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
27 |
$0.00 |
| 3008F |
|
26 |
24 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$0.00 |
| 99173 |
|
39 |
39 |
$0.00 |
| J7638 |
Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
55 |
53 |
$0.00 |
| 1159F |
|
64 |
55 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,312 |
1,130 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 92553 |
|
39 |
39 |
$0.00 |
| 80061 |
Lipid panel |
44 |
44 |
$0.00 |
| 1160F |
|
64 |
55 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
44 |
$0.00 |