| Code | Description | Claims | Beneficiaries | Total Paid |
| 3008F |
|
41 |
17 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
15 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
23 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
14 |
$0.00 |
| 1126F |
|
24 |
12 |
$0.00 |
| 85018 |
|
23 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
13 |
$0.00 |
| 81000 |
|
29 |
15 |
$0.00 |
| 2001F |
|
41 |
17 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
29 |
15 |
$0.00 |
| 2000F |
|
41 |
17 |
$0.00 |
| 4035F |
|
36 |
17 |
$0.00 |
| 1159F |
|
32 |
15 |
$0.00 |
| 1160F |
|
30 |
14 |
$0.00 |
| 82274 |
|
25 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
17 |
$0.00 |
| 3725F |
|
31 |
15 |
$0.00 |
| 80061 |
Lipid panel |
23 |
12 |
$0.00 |