| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
31 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29 |
29 |
$0.00 |
| 84439 |
|
18 |
18 |
$0.00 |
| 81003 |
|
43 |
43 |
$0.00 |
| 80061 |
Lipid panel |
69 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
60 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
102 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49 |
48 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
61 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
93 |
89 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
23 |
23 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
33 |
$0.00 |
| 82043 |
|
13 |
13 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29 |
29 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |