| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
359 |
357 |
$430.15 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
358 |
356 |
$428.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,746 |
1,241 |
$304.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,407 |
1,118 |
$189.80 |
| 86592 |
|
180 |
179 |
$3.10 |
| 36415 |
Collection of venous blood by venipuncture |
2,789 |
2,396 |
$0.00 |
| 81001 |
|
170 |
167 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
231 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,912 |
1,736 |
$0.00 |
| 87088 |
|
244 |
237 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,102 |
970 |
$0.00 |
| 82043 |
|
127 |
127 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
413 |
407 |
$0.00 |
| 1220F |
|
968 |
906 |
$0.00 |
| 4450F |
|
529 |
516 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,457 |
1,444 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
184 |
$0.00 |
| 99441 |
|
564 |
465 |
$0.00 |
| 86780 |
|
62 |
62 |
$0.00 |
| 1034F |
|
58 |
51 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
49 |
42 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 85027 |
|
46 |
42 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |
| 82540 |
|
127 |
127 |
$0.00 |
| 86703 |
|
346 |
346 |
$0.00 |
| 80061 |
Lipid panel |
1,471 |
1,455 |
$0.00 |
| 82947 |
|
536 |
532 |
$0.00 |
| 99442 |
|
1,187 |
1,031 |
$0.00 |
| 84439 |
|
389 |
384 |
$0.00 |
| 90658 |
|
61 |
61 |
$0.00 |
| 80074 |
|
89 |
88 |
$0.00 |
| 1033F |
|
244 |
227 |
$0.00 |
| 86480 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
74 |
$0.00 |
| 98966 |
|
16 |
14 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |