| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
241 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,268 |
1,199 |
$930.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
52 |
$607.95 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
98 |
98 |
$497.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
300 |
$62.75 |
| J3490 |
Unclassified drugs |
29 |
25 |
$52.18 |
| 1159F |
|
275 |
243 |
$0.00 |
| 80061 |
Lipid panel |
707 |
704 |
$0.00 |
| 83655 |
|
15 |
15 |
$0.00 |
| 3078F |
|
79 |
71 |
$0.00 |
| 1494F |
|
140 |
135 |
$0.00 |
| 92552 |
|
13 |
13 |
$0.00 |
| 81003 |
|
616 |
610 |
$0.00 |
| 3077F |
|
44 |
39 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
110 |
107 |
$0.00 |
| 84439 |
|
128 |
128 |
$0.00 |
| 71010 |
|
34 |
14 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
62 |
25 |
$0.00 |
| 84550 |
|
13 |
13 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |
| 3074F |
|
214 |
198 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
682 |
678 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
555 |
549 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
412 |
410 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
926 |
906 |
$0.00 |
| 84436 |
|
109 |
109 |
$0.00 |
| 3008F |
|
422 |
378 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
30 |
$0.00 |
| 1036F |
|
285 |
253 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
98 |
98 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,243 |
1,181 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
47 |
47 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
23 |
22 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,057 |
1,023 |
$0.00 |
| 1126F |
|
158 |
147 |
$0.00 |
| 85652 |
|
47 |
44 |
$0.00 |
| 82746 |
|
17 |
17 |
$0.00 |
| 3079F |
|
159 |
146 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
57 |
24 |
$0.00 |
| 84480 |
|
49 |
48 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
64 |
$0.00 |
| 86592 |
|
83 |
82 |
$0.00 |
| 3080F |
|
22 |
21 |
$0.00 |
| 1125F |
|
147 |
137 |
$0.00 |
| 82043 |
|
96 |
96 |
$0.00 |
| 84479 |
|
12 |
12 |
$0.00 |
| 82607 |
|
30 |
30 |
$0.00 |
| 81001 |
|
13 |
12 |
$0.00 |
| 85027 |
|
28 |
28 |
$0.00 |
| 84153 |
|
33 |
32 |
$0.00 |
| 3075F |
|
34 |
31 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
27 |
12 |
$0.00 |
| 82962 |
|
17 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 87340 |
|
14 |
14 |
$0.00 |