| Code | Description | Claims | Beneficiaries | Total Paid |
| 86780 |
|
68 |
67 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
415 |
384 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
209 |
208 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
198 |
194 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
61 |
58 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
64 |
63 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
50 |
50 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1111F |
|
32 |
30 |
$0.00 |
| 88187 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
61 |
58 |
$0.00 |
| 80061 |
Lipid panel |
61 |
61 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
192 |
161 |
$0.00 |
| 3078F |
|
16 |
14 |
$0.00 |
| 86360 |
|
46 |
46 |
$0.00 |