| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85027 |
|
87 |
80 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,749 |
1,736 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
712 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
568 |
562 |
$0.00 |
| 1220F |
|
616 |
611 |
$0.00 |
| 3074F |
|
962 |
868 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,692 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
547 |
543 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,364 |
1,287 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,168 |
2,912 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
218 |
214 |
$0.00 |
| 87340 |
|
448 |
446 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
355 |
354 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
502 |
497 |
$0.00 |
| 82043 |
|
617 |
607 |
$0.00 |
| 81001 |
|
148 |
137 |
$0.00 |
| 86780 |
|
706 |
706 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,569 |
1,481 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,209 |
1,186 |
$0.00 |
| 90656 |
|
102 |
102 |
$0.00 |
| 82607 |
|
163 |
163 |
$0.00 |
| 90686 |
|
115 |
115 |
$0.00 |
| 3075F |
|
245 |
234 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
96 |
92 |
$0.00 |
| 1111F |
|
281 |
254 |
$0.00 |
| 99441 |
|
97 |
92 |
$0.00 |
| 86706 |
|
96 |
96 |
$0.00 |
| 3079F |
|
177 |
168 |
$0.00 |
| 3044F |
|
382 |
379 |
$0.00 |
| 82728 |
|
25 |
25 |
$0.00 |
| 85652 |
|
13 |
12 |
$0.00 |
| 86703 |
|
787 |
785 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
547 |
543 |
$0.00 |
| 3078F |
|
1,206 |
1,085 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,123 |
982 |
$0.00 |
| 80061 |
Lipid panel |
1,342 |
1,339 |
$0.00 |
| 82540 |
|
617 |
607 |
$0.00 |
| 3077F |
|
217 |
202 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
209 |
119 |
$0.00 |
| 82274 |
|
306 |
306 |
$0.00 |
| 99442 |
|
701 |
683 |
$0.00 |
| 77062 |
|
41 |
41 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
201 |
$0.00 |
| 86705 |
|
80 |
80 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
249 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 83540 |
|
24 |
24 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
53 |
53 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |