| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82540 |
|
295 |
293 |
$0.00 |
| 99442 |
|
199 |
196 |
$0.00 |
| 3078F |
|
713 |
659 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 86703 |
|
477 |
476 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 3077F |
|
154 |
145 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
601 |
505 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
353 |
348 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
173 |
$0.00 |
| 80061 |
Lipid panel |
800 |
795 |
$0.00 |
| 82274 |
|
61 |
61 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
411 |
$0.00 |
| 3075F |
|
164 |
159 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
891 |
827 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
795 |
746 |
$0.00 |
| 82043 |
|
295 |
293 |
$0.00 |
| 86780 |
|
376 |
376 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
28 |
$0.00 |
| 87340 |
|
325 |
325 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
353 |
348 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
209 |
205 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
908 |
897 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,639 |
1,488 |
$0.00 |
| 3074F |
|
580 |
554 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
598 |
582 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
52 |
52 |
$0.00 |
| 3044F |
|
321 |
318 |
$0.00 |
| 3079F |
|
127 |
123 |
$0.00 |
| 1220F |
|
80 |
79 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
381 |
378 |
$0.00 |
| 86706 |
|
15 |
15 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
394 |
386 |
$0.00 |
| 90686 |
|
36 |
36 |
$0.00 |
| 1111F |
|
186 |
174 |
$0.00 |
| 90656 |
|
53 |
53 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
27 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |