| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,431 |
1,859 |
$184.35 |
| 36415 |
Collection of venous blood by venipuncture |
1,574 |
1,423 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
226 |
221 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
230 |
218 |
$0.00 |
| 86592 |
|
120 |
120 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
270 |
225 |
$0.00 |
| 86780 |
|
401 |
399 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
371 |
370 |
$0.00 |
| 85027 |
|
275 |
264 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
390 |
386 |
$0.00 |
| 87340 |
|
39 |
39 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
166 |
164 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
51 |
51 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
54 |
53 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
36 |
$0.00 |
| 99441 |
|
29 |
28 |
$0.00 |
| 80422 |
|
63 |
56 |
$0.00 |
| 86850 |
|
26 |
26 |
$0.00 |
| 99024 |
|
16 |
15 |
$0.00 |
| 86901 |
|
26 |
26 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 86480 |
|
40 |
40 |
$0.00 |
| 80061 |
Lipid panel |
69 |
69 |
$0.00 |
| 86900 |
|
26 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
390 |
386 |
$0.00 |
| 86703 |
|
554 |
553 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$0.00 |
| 80305 |
|
39 |
37 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$0.00 |