| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
22 |
22 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32 |
32 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
32 |
17 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
46 |
$579.23 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
67 |
67 |
$533.68 |
| 97803 |
|
60 |
46 |
$240.00 |
| 80061 |
Lipid panel |
70 |
70 |
$71.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$30.00 |
| 80053 |
Comprehensive metabolic panel |
82 |
82 |
$19.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
60 |
60 |
$12.76 |
| 92081 |
|
38 |
38 |
$0.00 |
| 99173 |
|
26 |
13 |
$0.00 |
| 92552 |
|
26 |
13 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 1159F |
|
16 |
14 |
$0.00 |
| 86592 |
|
18 |
18 |
$0.00 |
| 92551 |
|
38 |
38 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
98 |
98 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
67 |
67 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
62 |
48 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
66 |
$0.00 |
| 97802 |
|
43 |
43 |
$0.00 |
| 81001 |
|
15 |
15 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$0.00 |
| 3008F |
|
16 |
14 |
$0.00 |
| 81000 |
|
38 |
26 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
56 |
$0.00 |