| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
106 |
98 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
105 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
85 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
34 |
$0.00 |
| 1220F |
|
17 |
17 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
19 |
19 |
$0.00 |
| 3008F |
|
22 |
22 |
$0.00 |
| 81003 |
|
28 |
27 |
$0.00 |
| 80061 |
Lipid panel |
19 |
19 |
$0.00 |