| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
207 |
$408.33 |
| 81000 |
|
100 |
100 |
$247.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
318 |
$241.92 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$203.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$47.52 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$46.52 |
| 80074 |
|
83 |
82 |
$0.00 |
| 3078F |
|
61 |
61 |
$0.00 |
| 80076 |
|
397 |
393 |
$0.00 |
| 80061 |
Lipid panel |
441 |
434 |
$0.00 |
| 82947 |
|
196 |
195 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
32 |
$0.00 |
| 84520 |
|
198 |
197 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
156 |
151 |
$0.00 |
| 82565 |
|
199 |
198 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
41 |
41 |
$0.00 |
| 80051 |
|
200 |
199 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
156 |
151 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
309 |
303 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
114 |
113 |
$0.00 |
| 3074F |
|
57 |
57 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
284 |
281 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
60 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
564 |
544 |
$0.00 |
| 1036F |
|
37 |
37 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
377 |
363 |
$0.00 |
| 3017F |
|
14 |
14 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$0.00 |