| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
59 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 86360 |
|
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
106 |
103 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
151 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
50 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
52 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 88187 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
26 |
$0.00 |