| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,680 |
1,386 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$280.53 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$279.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,991 |
1,497 |
$85.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,379 |
1,283 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,861 |
1,738 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,531 |
1,518 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,267 |
2,930 |
$0.00 |
| 3075F |
|
86 |
79 |
$0.00 |
| 3044F |
|
220 |
219 |
$0.00 |
| 90686 |
|
43 |
43 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
495 |
491 |
$0.00 |
| 81001 |
|
15 |
14 |
$0.00 |
| 90656 |
|
43 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
202 |
$0.00 |
| 3074F |
|
454 |
420 |
$0.00 |
| 85027 |
|
47 |
46 |
$0.00 |
| 1111F |
|
140 |
135 |
$0.00 |
| 3079F |
|
65 |
61 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
26 |
26 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 1220F |
|
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
1,182 |
1,167 |
$0.00 |
| 3078F |
|
563 |
519 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
254 |
$0.00 |
| 99442 |
|
297 |
281 |
$0.00 |
| 82274 |
|
74 |
74 |
$0.00 |
| 3077F |
|
85 |
79 |
$0.00 |
| 91300 |
|
38 |
37 |
$0.00 |
| 84439 |
|
13 |
13 |
$0.00 |
| 86703 |
|
37 |
37 |
$0.00 |