| Code | Description | Claims | Beneficiaries | Total Paid |
| 0510 |
|
33 |
33 |
$776.49 |
| 99442 |
|
130 |
120 |
$37.34 |
| 36415 |
Collection of venous blood by venipuncture |
322 |
304 |
$0.00 |
| 4450F |
|
135 |
127 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
266 |
208 |
$0.00 |
| 1220F |
|
243 |
223 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
81 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
48 |
$0.00 |
| 99441 |
|
17 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
68 |
67 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 87088 |
|
14 |
12 |
$0.00 |
| 92551 |
|
23 |
23 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
271 |
$0.00 |
| 80061 |
Lipid panel |
97 |
96 |
$0.00 |
| 82947 |
|
15 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
34 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |