NPI: 1891873303 · N HOLLYWOOD, CA 91605 · Clinical Medical Laboratory · NPI assigned 11/01/2006
Authorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR) |
| NPI Enumeration Date | 11/01/2006 |
Other providers sharing the same authorized official: DAVIDOFF, RAMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 471,522 | $53K |
| 2019 | 653,985 | $435K |
| 2020 | 616,987 | $5.66M |
| 2021 | 845,899 | $8.34M |
| 2022 | 1,064,164 | $11.61M |
| 2023 | 1,313,947 | $15.83M |
| 2024 | 1,551,158 | $21.52M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 222,523 | 221,143 | $3.96M |
| 83036 | Hemoglobin; glycosylated (A1C) | 449,613 | 445,356 | $3.92M |
| 84443 | Thyroid stimulating hormone (TSH) | 256,954 | 254,061 | $3.15M |
| 80061 | Lipid panel | 283,041 | 281,637 | $3.08M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 99,076 | 70,022 | $2.61M |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 110,609 | 105,904 | $2.30M |
| 82565 | 352,850 | 344,447 | $2.01M | |
| 80051 | 243,048 | 237,491 | $1.77M | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 41,618 | 33,363 | $1.71M |
| 81513 | 50,255 | 48,520 | $1.62M | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 153,405 | 153,247 | $1.41M |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 151,036 | 139,661 | $1.41M |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 150,760 | 139,434 | $1.41M |
| 83970 | 24,603 | 24,307 | $1.27M | |
| 82274 | 108,531 | 108,308 | $1.27M | |
| 84460 | 263,702 | 260,198 | $1.26M | |
| 86480 | 33,454 | 33,300 | $977K | |
| 87088 | 168,017 | 157,623 | $950K | |
| 82607 | 59,348 | 59,150 | $879K | |
| 82043 | 120,532 | 119,550 | $878K | |
| 86003 | 57,627 | 54,129 | $843K | |
| 82728 | 74,476 | 73,575 | $838K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 50,069 | 48,338 | $825K |
| 87481 | 49,806 | 48,080 | $823K | |
| 84153 | 34,368 | 33,809 | $715K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 87,813 | 87,186 | $712K |
| 87505 | 7,846 | 7,761 | $605K | |
| 84165 | 17,531 | 17,202 | $604K | |
| 83520 | 30,573 | 19,880 | $555K | |
| 83550 | 77,355 | 76,450 | $534K | |
| 88173 | 9,615 | 7,967 | $524K | |
| 84439 | 75,971 | 73,433 | $514K | |
| 86803 | 73,844 | 73,345 | $510K | |
| 86780 | 95,729 | 92,743 | $473K | |
| 82784 | 36,934 | 35,805 | $456K | |
| 86334 | 9,431 | 9,241 | $452K | |
| 82310 | 63,195 | 62,325 | $433K | |
| 88341 | 3,616 | 2,975 | $426K | |
| 88342 | 6,657 | 6,315 | $417K | |
| 82746 | 28,141 | 28,053 | $415K | |
| 88360 | 3,516 | 3,257 | $414K | |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 109,205 | 109,137 | $410K |
| 83540 | 78,563 | 77,619 | $378K | |
| 84403 | 26,206 | 25,567 | $340K | |
| 87186 | 45,769 | 44,351 | $337K | |
| 84450 | 74,110 | 72,542 | $327K | |
| 86335 | 5,346 | 5,248 | $313K | |
| 84075 | 58,888 | 57,416 | $294K | |
| 84520 | 67,593 | 65,383 | $274K | |
| 86256 | 9,611 | 9,445 | $263K | |
| 82247 | 57,124 | 55,806 | $263K | |
| 87340 | 68,399 | 67,898 | $259K | |
| 83721 | 33,602 | 33,513 | $254K | |
| 80197 | 16,530 | 13,122 | $248K | |
| 82040 | 43,590 | 42,396 | $241K | |
| 87799 | 7,166 | 6,176 | $238K | |
| 87536 | 3,843 | 3,789 | $237K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1,950 | 1,938 | $233K |
| 88112 | 6,577 | 6,376 | $227K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 16,344 | 16,252 | $217K |
| 82947 | 76,070 | 75,271 | $208K | |
| 83735 | 31,748 | 30,909 | $206K | |
| 88312 | 3,068 | 2,801 | $189K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 4,893 | 3,514 | $184K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 26,508 | 26,465 | $178K |
| 86141 | 14,711 | 14,499 | $174K | |
| 86160 | 12,306 | 11,884 | $154K | |
| 84146 | 23,906 | 23,616 | $151K | |
| 86235 | 10,257 | 9,534 | $145K | |
| 87522 | Neg quan hep c or qual rna | 4,842 | 4,762 | $144K |
| 86255 | 9,320 | 9,127 | $142K | |
| 84132 | 30,278 | 29,585 | $141K | |
| 87529 | 9,597 | 4,773 | $139K | |
| 83718 | 24,690 | 24,662 | $127K | |
| 86038 | 22,508 | 22,430 | $126K | |
| 88185 | 250 | 244 | $124K | |
| 84100 | 22,594 | 22,109 | $114K | |
| 82378 | 5,204 | 4,700 | $112K | |
| 87338 | 59,929 | 59,790 | $111K | |
| 86635 | 15,065 | 7,979 | $109K | |
| 82105 | 5,786 | 5,681 | $105K | |
| 82670 | 15,676 | 15,436 | $104K | |
| 87070 | 19,010 | 18,038 | $99K | |
| 87497 | 1,867 | 1,585 | $98K | |
| 86146 | 2,871 | 2,817 | $98K | |
| 86317 | 18,046 | 14,377 | $96K | |
| 88304 | 5,297 | 4,996 | $95K | |
| 83655 | 81,693 | 81,578 | $95K | |
| 84134 | 5,366 | 5,043 | $90K | |
| 86704 | 11,510 | 11,458 | $87K | |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 20,110 | 20,103 | $85K |
| 83021 | 19,321 | 19,273 | $84K | |
| 83001 | 14,544 | 14,348 | $84K | |
| 86147 | 3,833 | 3,763 | $82K | |
| 84295 | 15,511 | 15,325 | $77K | |
| 84480 | 11,107 | 10,826 | $76K | |
| 84425 | 6,018 | 6,007 | $73K | |
| 84166 | 1,131 | 1,058 | $71K | |
| 86225 | 10,216 | 10,122 | $70K | |
| 87081 | 62,577 | 61,695 | $69K | |
| 84270 | 7,029 | 6,884 | $67K | |
| 83993 | 8,084 | 8,006 | $67K | |
| 82465 | 26,458 | 26,418 | $66K | |
| 87449 | 10,141 | 10,098 | $64K | |
| 86304 | 3,093 | 2,977 | $61K | |
| 87517 | 1,397 | 1,365 | $60K | |
| 88313 | 541 | 512 | $59K | |
| 84550 | 15,365 | 15,240 | $58K | |
| 82248 | 12,512 | 12,141 | $57K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 632 | 619 | $56K |
| 86376 | 8,600 | 8,548 | $54K | |
| 83002 | 13,845 | 13,563 | $53K | |
| 86364 | 6,750 | 6,596 | $51K | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 14,240 | 14,235 | $49K |
| 82533 | 4,679 | 4,465 | $48K | |
| 87116 | 4,740 | 2,979 | $48K | |
| 88141 | 6,341 | 6,335 | $48K | |
| 87040 | 6,650 | 4,581 | $45K | |
| 88307 | 376 | 269 | $43K | |
| 86762 | 13,894 | 13,818 | $43K | |
| 82785 | 6,661 | 6,609 | $42K | |
| 86787 | 14,149 | 14,091 | $40K | |
| 86300 | 2,025 | 1,879 | $39K | |
| 86431 | 9,666 | 9,623 | $36K | |
| 82550 | 6,940 | 6,849 | $36K | |
| 80164 | 4,948 | 4,706 | $36K | |
| 84154 | 1,674 | 1,524 | $36K | |
| 82985 | 7,019 | 6,897 | $34K | |
| 87102 | 10,172 | 9,852 | $33K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1,585 | 1,577 | $32K |
| 84432 | 2,159 | 2,124 | $32K | |
| 88184 | 255 | 248 | $31K | |
| 82024 | 1,212 | 1,161 | $31K | |
| 82627 | 4,115 | 4,069 | $30K | |
| 83519 | 5,628 | 5,110 | $30K | |
| 80158 | 1,870 | 1,533 | $30K | |
| 86665 | 4,452 | 2,221 | $30K | |
| 86765 | 10,232 | 10,147 | $29K | |
| 86301 | 1,167 | 1,095 | $29K | |
| 83090 | 1,547 | 1,541 | $28K | |
| 87206 | 4,678 | 3,056 | $27K | |
| 88108 | 1,289 | 1,105 | $27K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 2,174 | 1,955 | $27K |
| 86708 | 3,568 | 3,565 | $27K | |
| 83516 | 4,846 | 3,451 | $26K | |
| 82103 | 3,691 | 3,676 | $26K | |
| 87305 | 1,611 | 1,416 | $26K | |
| 86645 | 2,721 | 2,700 | $26K | |
| 82977 | 4,316 | 4,248 | $25K | |
| 86696 | 3,918 | 3,904 | $25K | |
| 83020 | 2,560 | 2,474 | $24K | |
| 80177 | 4,269 | 4,089 | $24K | |
| 84311 | 2,190 | 2,006 | $24K | |
| 82390 | 4,393 | 4,371 | $24K | |
| 86316 | 1,507 | 1,469 | $23K | |
| 86800 | 1,647 | 1,637 | $23K | |
| 86885 | 25,150 | 25,063 | $22K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1,347 | 1,309 | $22K |
| 84445 | 4,989 | 4,922 | $21K | |
| 88142 | 3,411 | 3,405 | $21K | |
| 86709 | 3,572 | 3,556 | $21K | |
| 82653 | 1,137 | 1,132 | $21K | |
| 83880 | 272 | 250 | $20K | |
| 87327 | 1,482 | 1,468 | $20K | |
| 86039 | 3,358 | 3,311 | $19K | |
| 86705 | 1,123 | 1,112 | $19K | |
| 82525 | 2,811 | 2,716 | $19K | |
| 86735 | 6,331 | 6,281 | $19K | |
| 86592 | 7,810 | 7,657 | $19K | |
| 84238 | 639 | 639 | $18K | |
| 84244 | 5,080 | 4,829 | $17K | |
| 82088 | 5,060 | 4,699 | $17K | |
| 86769 | 2,272 | 2,265 | $17K | |
| 86695 | 3,918 | 3,904 | $17K | |
| 82397 | 2,380 | 2,315 | $17K | |
| 80230 | 937 | 907 | $17K | |
| 86341 | 3,026 | 2,010 | $16K | |
| 85613 | 3,975 | 3,963 | $16K | |
| 84478 | 2,966 | 2,803 | $16K | |
| 87385 | 882 | 871 | $15K | |
| 87046 | 1,923 | 1,911 | $15K | |
| 84207 | 5,594 | 5,569 | $15K | |
| 84155 | 4,342 | 4,174 | $14K | |
| 84630 | 2,336 | 2,331 | $14K | |
| 83010 | 943 | 936 | $13K | |
| 84681 | 915 | 905 | $13K | |
| 86664 | 2,225 | 2,209 | $13K | |
| 82570 | 5,350 | 5,059 | $13K | |
| 82610 | 1,607 | 1,552 | $13K | |
| 80356 | 4,106 | 3,944 | $13K | |
| 86900 | 24,614 | 24,559 | $12K | |
| 86901 | 24,606 | 24,548 | $12K | |
| 84144 | 1,323 | 1,283 | $12K | |
| 82150 | 3,582 | 3,422 | $12K | |
| 80373 | 4,087 | 3,925 | $12K | |
| 80195 | 1,186 | 983 | $12K | |
| 80354 | 4,088 | 3,926 | $12K | |
| 80358 | 4,088 | 3,926 | $12K | |
| 80372 | 4,088 | 3,926 | $12K | |
| 80365 | 4,086 | 3,924 | $12K | |
| 80361 | 5,017 | 4,833 | $12K | |
| 80324 | 3,300 | 3,209 | $12K | |
| 80359 | 3,441 | 3,341 | $12K | |
| 83498 | 9,531 | 9,346 | $12K | |
| 85730 | 4,436 | 3,932 | $11K | |
| 87147 | 4,171 | 4,142 | $11K | |
| 85306 | 1,431 | 1,426 | $11K | |
| 86340 | 1,194 | 1,189 | $10K | |
| 82340 | 4,232 | 4,180 | $10K | |
| 84305 | 7,265 | 7,148 | $10K | |
| 80175 | 3,257 | 3,143 | $10K | |
| 80349 | 1,101 | 998 | $10K | |
| 82164 | 927 | 918 | $10K | |
| 84446 | 1,686 | 1,671 | $9K | |
| 85303 | 1,381 | 1,378 | $9K | |
| 87075 | 997 | 932 | $9K | |
| 82157 | 5,027 | 4,875 | $9K | |
| 80348 | 4,087 | 3,925 | $9K | |
| 86790 | 2,180 | 1,515 | $9K | |
| 86870 | 788 | 738 | $9K | |
| 86606 | 400 | 100 | $8K | |
| 86682 | 933 | 866 | $8K | |
| 86593 | 2,988 | 2,922 | $8K | |
| 80178 | 2,220 | 2,095 | $8K | |
| 86738 | 1,921 | 1,516 | $8K | |
| 85247 | 1,694 | 1,676 | $8K | |
| 86366 | 122 | 122 | $7K | |
| 85300 | 1,337 | 1,333 | $7K | |
| 86812 | 3,130 | 3,125 | $7K | |
| 82705 | 1,958 | 1,954 | $7K | |
| 87185 | 3,364 | 3,333 | $7K | |
| 84590 | 5,633 | 5,599 | $7K | |
| 86618 | 1,283 | 1,279 | $7K | |
| 82668 | 1,123 | 1,112 | $7K | |
| 85246 | 844 | 823 | $6K | |
| 82085 | 2,830 | 2,767 | $6K | |
| 86022 | 352 | 297 | $6K | |
| 86777 | 1,068 | 1,056 | $6K | |
| 85660 | 3,189 | 3,073 | $6K | |
| 80156 | 349 | 338 | $6K | |
| 82365 | 851 | 845 | $6K | |
| 86331 | 366 | 366 | $5K | |
| 86008 | 1,304 | 877 | $5K | |
| 82542 | 1,041 | 1,004 | $5K | |
| 87109 | 4,099 | 2,303 | $5K | |
| 87254 | 1,624 | 1,594 | $5K | |
| 85240 | 890 | 850 | $5K | |
| 83986 | 3,872 | 3,861 | $5K | |
| 82523 | 549 | 547 | $5K | |
| 86778 | 818 | 813 | $5K | |
| 82104 | 317 | 314 | $5K | |
| 82530 | 387 | 387 | $5K | |
| 82010 | 887 | 865 | $4K | |
| 82507 | 3,081 | 3,069 | $4K | |
| 84560 | 3,035 | 3,025 | $4K | |
| 83945 | 3,071 | 3,056 | $4K | |
| 84105 | 3,035 | 3,026 | $4K | |
| 84133 | 2,997 | 2,989 | $4K | |
| 82140 | 3,000 | 2,993 | $4K | |
| 84392 | 3,000 | 2,993 | $4K | |
| 84300 | 3,005 | 2,997 | $4K | |
| 82232 | 215 | 206 | $4K | |
| 87496 | 197 | 190 | $4K | |
| 82595 | 820 | 813 | $4K | |
| 83525 | 826 | 814 | $4K | |
| 82787 | 152 | 151 | $4K | |
| 84466 | 270 | 268 | $4K | |
| 87902 | 24 | 24 | $4K | |
| 86021 | 630 | 391 | $4K | |
| 86677 | 1,987 | 1,985 | $4K | |
| 87493 | 112 | 110 | $4K | |
| 80299 | 585 | 562 | $3K | |
| 83835 | 834 | 760 | $3K | |
| 86788 | 401 | 397 | $3K | |
| 82652 | 1,486 | 1,478 | $3K | |
| 86337 | 527 | 516 | $3K | |
| 86753 | 319 | 314 | $3K | |
| 80183 | 834 | 813 | $3K | |
| 84080 | 970 | 961 | $3K | |
| 80321 | 791 | 766 | $3K | |
| 86041 | 314 | 307 | $3K | |
| 82239 | 2,426 | 2,201 | $3K | |
| 82435 | 860 | 856 | $3K | |
| 82656 | 616 | 614 | $2K | |
| 80201 | 179 | 173 | $2K | |
| 86747 | 934 | 481 | $2K | |
| 82384 | 297 | 292 | $2K | |
| 82374 | 740 | 737 | $2K | |
| 82380 | 1,098 | 1,094 | $2K | |
| 87350 | 797 | 796 | $2K | |
| 87255 | 3,693 | 3,631 | $2K | |
| 82960 | 521 | 521 | $2K | |
| 80185 | 81 | 74 | $2K | |
| 84597 | 209 | 207 | $2K | |
| 84702 | 210 | 202 | $2K | |
| 86757 | 316 | 153 | $2K | |
| 84255 | 155 | 154 | $2K | |
| 87899 | 56 | 54 | $2K | |
| 86707 | 619 | 618 | $1K | |
| 84436 | 894 | 875 | $1K | |
| 80180 | 175 | 154 | $1K | |
| 86609 | 78 | 39 | $1K | |
| 84252 | 205 | 205 | $1K | |
| 85245 | 300 | 287 | $1K | |
| 86258 | 906 | 453 | $1K | |
| 83695 | 401 | 401 | $1K | |
| 82941 | 242 | 234 | $1K | |
| 82180 | 279 | 277 | $1K | |
| 83529 | 92 | 91 | $1K | |
| 86698 | 154 | 52 | $1K | |
| 83825 | 311 | 298 | $940.53 | |
| 86711 | 78 | 68 | $809.87 | |
| 82172 | 413 | 354 | $745.92 | |
| 86774 | 132 | 131 | $722.34 | |
| 87535 | 52 | 52 | $720.00 | |
| 87184 | 82 | 74 | $707.33 | |
| 80076 | 119 | 118 | $626.32 | |
| 86702 | 74 | 73 | $621.62 | |
| 83003 | 298 | 284 | $542.91 | |
| 87538 | 39 | 39 | $540.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 86 | 85 | $534.33 |
| 87593 | 173 | 82 | $512.78 | |
| 87181 | 39 | 38 | $479.80 | |
| 80346 | 133 | 127 | $462.14 | |
| 87149 | 44 | 41 | $459.65 | |
| 86611 | 499 | 124 | $446.62 | |
| 85670 | 743 | 738 | $392.22 | |
| 86701 | 73 | 72 | $375.80 | |
| 86162 | 100 | 99 | $356.13 | |
| 80159 | 30 | 25 | $351.12 | |
| 86336 | 112 | 110 | $349.44 | |
| 84540 | 41 | 39 | $315.00 | |
| 82308 | 46 | 46 | $289.80 | |
| 87205 | 77 | 64 | $274.27 | |
| 86215 | 124 | 121 | $261.84 | |
| 87103 | 12 | 12 | $257.00 | |
| 85610 | 775 | 768 | $242.73 | |
| 84402 | 500 | 497 | $235.00 | |
| 84143 | 90 | 77 | $225.88 | |
| 87563 | 42 | 42 | $215.09 | |
| 82175 | 51 | 50 | $200.68 | |
| 86612 | 26 | 26 | $168.00 | |
| 86622 | 28 | 14 | $165.60 | |
| 84481 | 139 | 138 | $159.26 | |
| 82077 | 14 | 13 | $151.92 | |
| 85549 | 26 | 26 | $117.36 | |
| 86794 | 444 | 442 | $113.11 | |
| 83497 | 143 | 140 | $101.98 | |
| 86060 | 13 | 13 | $100.00 | |
| 87045 | 304 | 299 | $93.60 | |
| 87425 | 79 | 78 | $79.80 | |
| 82626 | 30 | 25 | $67.20 | |
| 82438 | 14 | 13 | $65.40 | |
| 86886 | 62 | 51 | $61.80 | |
| 86157 | 24 | 24 | $58.80 | |
| 82375 | 12 | 12 | $50.40 | |
| 82042 | 13 | 13 | $32.69 | |
| 82679 | 12 | 12 | $29.40 | |
| 3078F | 2,539 | 2,489 | $0.00 | |
| 3051F | 9,959 | 9,873 | $0.00 | |
| 87329 | 216 | 215 | $0.00 | |
| 87631 | 166 | 166 | $0.00 | |
| 3046F | 8,442 | 8,336 | $0.00 | |
| 73630 | 12 | 12 | $0.00 | |
| 85520 | 12 | 12 | $0.00 | |
| 80323 | 34 | 33 | $0.00 | |
| 81003 | 25 | 25 | $0.00 | |
| 73562 | 14 | 13 | $0.00 | |
| 77080 | 14 | 14 | $0.00 | |
| 3074F | 2,667 | 2,619 | $0.00 | |
| 3052F | 6,146 | 6,092 | $0.00 | |
| 3044F | 88,805 | 88,475 | $0.00 | |
| 84591 | 41 | 41 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 125 | 125 | $0.00 |
| 86140 | 218 | 218 | $0.00 | |
| 92227 | 86 | 86 | $0.00 | |
| 85027 | 27 | 27 | $0.00 | |
| 90686 | 84 | 84 | $0.00 | |
| 83921 | 27 | 27 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 13 | 13 | $0.00 |