| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
280 |
279 |
$689.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,211 |
$654.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
699 |
$565.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
550 |
500 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
393 |
389 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
47 |
45 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
495 |
483 |
$0.00 |
| 82607 |
|
46 |
45 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
34 |
33 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
150 |
148 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,009 |
907 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
14 |
$0.00 |
| 82043 |
|
30 |
29 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
687 |
658 |
$0.00 |
| 85027 |
|
213 |
212 |
$0.00 |
| 85652 |
|
58 |
54 |
$0.00 |
| 86140 |
|
45 |
41 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
408 |
406 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 99385 |
|
19 |
19 |
$0.00 |
| 82746 |
|
14 |
14 |
$0.00 |
| 85610 |
|
59 |
50 |
$0.00 |
| 81003 |
|
444 |
439 |
$0.00 |
| 84439 |
|
432 |
424 |
$0.00 |
| 80061 |
Lipid panel |
462 |
459 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| 80074 |
|
378 |
375 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
45 |
$0.00 |
| 92552 |
|
46 |
46 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
14 |
$0.00 |