| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1033F |
|
30 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
101 |
$0.00 |
| 80061 |
Lipid panel |
96 |
96 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
43 |
$0.00 |
| 80305 |
|
38 |
38 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
73 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22 |
12 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 86592 |
|
95 |
95 |
$0.00 |
| 81001 |
|
47 |
47 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
162 |
160 |
$0.00 |
| 1220F |
|
254 |
234 |
$0.00 |
| 88187 |
|
151 |
150 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
142 |
141 |
$0.00 |
| 87536 |
|
119 |
119 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
43 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
265 |
237 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
27 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
29 |
29 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |