| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
878 |
668 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
48 |
47 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
48 |
47 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
12 |
12 |
$131.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,273 |
1,040 |
$85.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
68 |
$18.10 |
| 99441 |
|
409 |
381 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
65 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,393 |
2,100 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
976 |
902 |
$0.00 |
| 1220F |
|
263 |
261 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,048 |
1,043 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
379 |
375 |
$0.00 |
| 82043 |
|
25 |
25 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
299 |
293 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,253 |
1,190 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
112 |
$0.00 |
| 87340 |
|
76 |
76 |
$0.00 |
| 85027 |
|
42 |
41 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
29 |
$0.00 |
| 80061 |
Lipid panel |
1,172 |
1,169 |
$0.00 |
| 99442 |
|
235 |
230 |
$0.00 |
| 82540 |
|
25 |
25 |
$0.00 |
| 82274 |
|
108 |
108 |
$0.00 |
| 86703 |
|
15 |
14 |
$0.00 |
| 91300 |
|
52 |
52 |
$0.00 |
| 80076 |
|
59 |
57 |
$0.00 |
| 90658 |
|
25 |
25 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |