| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84436 |
|
42 |
41 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
515 |
511 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
384 |
381 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
115 |
114 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
76 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
77 |
$0.00 |
| 85018 |
|
83 |
82 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
99 |
98 |
$0.00 |
| 1036F |
|
30 |
30 |
$0.00 |
| 96156 |
|
84 |
84 |
$0.00 |
| 3008F |
|
83 |
83 |
$0.00 |
| 97802 |
|
84 |
84 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
35 |
35 |
$0.00 |
| 83655 |
|
129 |
128 |
$0.00 |
| 80061 |
Lipid panel |
82 |
81 |
$0.00 |
| 81003 |
|
336 |
333 |
$0.00 |
| 92552 |
|
82 |
82 |
$0.00 |
| 84439 |
|
83 |
82 |
$0.00 |
| G9920 |
Screening performed and negative |
69 |
69 |
$0.00 |
| 99173 |
|
82 |
82 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$0.00 |