| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
361 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
549 |
$16K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
252 |
232 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
120 |
115 |
$5K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
206 |
202 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
406 |
386 |
$2K |
| 86803 |
|
121 |
119 |
$2K |
| 82105 |
|
96 |
93 |
$2K |
| 80053 |
Comprehensive metabolic panel |
173 |
164 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 86704 |
|
52 |
51 |
$783.00 |
| 87340 |
|
52 |
51 |
$741.19 |
| 86706 |
|
53 |
52 |
$702.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$565.40 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
85 |
80 |
$118.73 |
| 81025 |
|
15 |
15 |
$60.40 |
| 86592 |
|
13 |
12 |
$50.80 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
116 |
113 |
$24.46 |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
116 |
113 |
$14.98 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
131 |
$12.50 |