| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87536 |
|
1,619 |
1,609 |
$152.66 |
| 80053 |
Comprehensive metabolic panel |
6,339 |
5,883 |
$9.28 |
| 86593 |
|
744 |
732 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
838 |
804 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,115 |
2,098 |
$0.00 |
| 86592 |
|
1,187 |
1,169 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
8,642 |
7,662 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,869 |
5,425 |
$0.00 |
| 86780 |
|
2,137 |
2,118 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,407 |
1,380 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,281 |
2,243 |
$0.00 |
| 3079F |
|
448 |
426 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
284 |
204 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,079 |
2,984 |
$0.00 |
| 3044F |
|
889 |
883 |
$0.00 |
| 85027 |
|
410 |
390 |
$0.00 |
| 81001 |
|
831 |
807 |
$0.00 |
| 82043 |
|
287 |
283 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,502 |
3,475 |
$0.00 |
| 3074F |
|
1,622 |
1,474 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
1,744 |
1,731 |
$0.00 |
| 87340 |
|
632 |
629 |
$0.00 |
| 88187 |
|
991 |
983 |
$0.00 |
| 86141 |
|
97 |
94 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
235 |
223 |
$0.00 |
| 90739 |
|
44 |
44 |
$0.00 |
| 74174 |
|
13 |
13 |
$0.00 |
| 86706 |
|
237 |
237 |
$0.00 |
| 82607 |
|
87 |
87 |
$0.00 |
| 83550 |
|
67 |
66 |
$0.00 |
| 82728 |
|
75 |
72 |
$0.00 |
| 85730 |
|
40 |
39 |
$0.00 |
| 99441 |
|
283 |
273 |
$0.00 |
| 83615 |
|
17 |
15 |
$0.00 |
| 85652 |
|
64 |
61 |
$0.00 |
| 90656 |
|
111 |
111 |
$0.00 |
| 90686 |
|
271 |
271 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
161 |
152 |
$0.00 |
| 86901 |
|
32 |
26 |
$0.00 |
| 3075F |
|
408 |
397 |
$0.00 |
| 99443 |
|
59 |
55 |
$0.00 |
| 1111F |
|
457 |
425 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$0.00 |
| 83735 |
|
30 |
26 |
$0.00 |
| 96415 |
|
14 |
12 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$0.00 |
| 3080F |
|
194 |
183 |
$0.00 |
| 85008 |
|
12 |
12 |
$0.00 |
| 81015 |
|
78 |
76 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
30 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
13 |
$0.00 |
| 84153 |
|
34 |
34 |
$0.00 |
| 99606 |
|
15 |
14 |
$0.00 |
| 82746 |
|
14 |
14 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |
| 99442 |
|
889 |
854 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,796 |
1,675 |
$0.00 |
| 3046F |
|
25 |
25 |
$0.00 |
| 86708 |
|
114 |
114 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
85 |
67 |
$0.00 |
| 83540 |
|
84 |
83 |
$0.00 |
| 86360 |
|
1,714 |
1,701 |
$0.00 |
| 85610 |
|
490 |
448 |
$0.00 |
| 84439 |
|
112 |
108 |
$0.00 |
| 86480 |
|
1,203 |
1,196 |
$0.00 |
| 82274 |
|
586 |
584 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,281 |
2,243 |
$0.00 |
| 82248 |
|
753 |
747 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,677 |
3,507 |
$0.00 |
| 82540 |
|
287 |
283 |
$0.00 |
| 3077F |
|
438 |
406 |
$0.00 |
| 81003 |
|
651 |
648 |
$0.00 |
| 86703 |
|
771 |
764 |
$0.00 |
| 3051F |
|
51 |
50 |
$0.00 |
| 86705 |
|
184 |
184 |
$0.00 |
| 80061 |
Lipid panel |
2,999 |
2,984 |
$0.00 |
| 84100 |
|
40 |
40 |
$0.00 |
| 3078F |
|
1,853 |
1,685 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
139 |
136 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
364 |
210 |
$0.00 |
| 90653 |
|
38 |
38 |
$0.00 |
| 80305 |
|
21 |
13 |
$0.00 |
| 90715 |
|
81 |
81 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
145 |
143 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
63 |
$0.00 |
| 90750 |
|
181 |
181 |
$0.00 |
| 91300 |
|
50 |
50 |
$0.00 |
| 97161 |
|
25 |
25 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
60 |
43 |
$0.00 |
| 86900 |
|
32 |
26 |
$0.00 |
| 81025 |
|
17 |
12 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
14 |
14 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
29 |
29 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 98966 |
|
13 |
13 |
$0.00 |
| 77062 |
|
15 |
15 |
$0.00 |