| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
648 |
521 |
$218.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
992 |
866 |
$193.07 |
| 82540 |
|
280 |
276 |
$0.00 |
| 80061 |
Lipid panel |
798 |
790 |
$0.00 |
| 86703 |
|
56 |
56 |
$0.00 |
| 99442 |
|
554 |
530 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
101 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
42 |
42 |
$0.00 |
| 85610 |
|
40 |
36 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 82274 |
|
49 |
49 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
121 |
116 |
$0.00 |
| 82043 |
|
280 |
276 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
960 |
947 |
$0.00 |
| 99443 |
|
104 |
102 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,821 |
1,655 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
55 |
54 |
$0.00 |
| 1220F |
|
159 |
157 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
536 |
513 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
839 |
812 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$0.00 |
| 86706 |
|
12 |
12 |
$0.00 |
| 85027 |
|
122 |
112 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
42 |
42 |
$0.00 |
| 92250 |
|
12 |
12 |
$0.00 |
| 99441 |
|
231 |
229 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
142 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$0.00 |
| 86592 |
|
14 |
14 |
$0.00 |