| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
87 |
86 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
386 |
376 |
$725.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
394 |
$496.81 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
332 |
$316.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
164 |
$172.89 |
| 86592 |
|
74 |
73 |
$163.35 |
| 84439 |
|
99 |
97 |
$106.16 |
| 80076 |
|
136 |
136 |
$103.02 |
| 80053 |
Comprehensive metabolic panel |
355 |
343 |
$101.20 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
86 |
85 |
$62.24 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
133 |
$61.47 |
| 83615 |
|
12 |
12 |
$24.12 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
106 |
106 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
228 |
225 |
$0.00 |
| 81001 |
|
234 |
231 |
$0.00 |
| 84436 |
|
45 |
45 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 84480 |
|
59 |
58 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 92081 |
|
12 |
12 |
$0.00 |
| 86703 |
|
30 |
30 |
$0.00 |
| 80061 |
Lipid panel |
320 |
319 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
86 |
$0.00 |
| 84550 |
|
16 |
16 |
$0.00 |
| 82977 |
|
13 |
13 |
$0.00 |
| 84100 |
|
38 |
38 |
$0.00 |