| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87536 |
|
1,351 |
1,303 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,712 |
1,615 |
$194K |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
12 |
12 |
$68K |
| 80053 |
Comprehensive metabolic panel |
1,090 |
1,053 |
$42K |
| 82248 |
|
1,065 |
1,036 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
734 |
697 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
182 |
121 |
$25K |
| 86360 |
|
214 |
212 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
130 |
92 |
$17K |
| 86359 |
|
201 |
200 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
375 |
339 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
390 |
369 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
87 |
87 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
82 |
$6K |
| 80061 |
Lipid panel |
58 |
58 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
50 |
$1K |
| 0002A |
|
297 |
293 |
$777.02 |
| 86780 |
|
25 |
25 |
$723.40 |
| 0001A |
|
264 |
262 |
$473.00 |
| 86803 |
|
12 |
12 |
$306.68 |
| 0031A |
|
35 |
35 |
$72.15 |
| 90686 |
|
25 |
14 |
$10.50 |