| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,110 |
2,780 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
709 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
154 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
565 |
557 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
18 |
$720.00 |
| 1111F |
|
81 |
81 |
$51.60 |
| 81001 |
|
1,017 |
995 |
$34.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,053 |
1,041 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,587 |
1,528 |
$0.00 |
| 84436 |
|
193 |
190 |
$0.00 |
| 87077 |
|
39 |
39 |
$0.00 |
| 86592 |
|
249 |
247 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
477 |
471 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,801 |
1,709 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
551 |
544 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
658 |
655 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,193 |
1,183 |
$0.00 |
| 3008F |
|
522 |
490 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
198 |
194 |
$0.00 |
| 3074F |
|
443 |
419 |
$0.00 |
| 85730 |
|
31 |
31 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,690 |
1,631 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 85027 |
|
191 |
189 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
74 |
74 |
$0.00 |
| 85018 |
|
28 |
26 |
$0.00 |
| 87088 |
|
303 |
300 |
$0.00 |
| 86140 |
|
99 |
97 |
$0.00 |
| 3079F |
|
69 |
69 |
$0.00 |
| 82728 |
|
109 |
108 |
$0.00 |
| 82607 |
|
64 |
64 |
$0.00 |
| 82043 |
|
487 |
485 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
153 |
153 |
$0.00 |
| 83550 |
|
44 |
44 |
$0.00 |
| 86803 |
|
61 |
60 |
$0.00 |
| 87070 |
|
69 |
67 |
$0.00 |
| 83735 |
|
138 |
130 |
$0.00 |
| 88142 |
|
12 |
12 |
$0.00 |
| 83615 |
|
69 |
69 |
$0.00 |
| 82962 |
|
50 |
48 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |
| 85652 |
|
357 |
353 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
34 |
$0.00 |
| 84479 |
|
17 |
16 |
$0.00 |
| 86060 |
|
16 |
16 |
$0.00 |
| 3075F |
|
43 |
41 |
$0.00 |
| 84153 |
|
50 |
50 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 83690 |
|
12 |
12 |
$0.00 |
| 83001 |
|
12 |
12 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 84550 |
|
420 |
419 |
$0.00 |
| 83540 |
|
190 |
188 |
$0.00 |
| 80061 |
Lipid panel |
1,419 |
1,417 |
$0.00 |
| 86038 |
|
74 |
74 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
86 |
$0.00 |
| 3078F |
|
479 |
454 |
$0.00 |
| 82570 |
|
502 |
498 |
$0.00 |
| 84439 |
|
267 |
267 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
24 |
12 |
$0.00 |
| 87186 |
|
39 |
39 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
26 |
26 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
144 |
144 |
$0.00 |
| 0521F |
|
25 |
24 |
$0.00 |
| 84100 |
|
179 |
172 |
$0.00 |
| 86431 |
|
48 |
48 |
$0.00 |
| 82977 |
|
46 |
46 |
$0.00 |
| 84702 |
|
38 |
36 |
$0.00 |
| 81002 |
|
31 |
31 |
$0.00 |
| 3288F |
|
14 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 82248 |
|
26 |
26 |
$0.00 |
| 92552 |
|
12 |
12 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| 99173 |
|
25 |
25 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
13 |
13 |
$0.00 |
| 85610 |
|
47 |
46 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$0.00 |
| 82274 |
|
14 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |