| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,009 |
692 |
$613.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,344 |
1,133 |
$458.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
313 |
309 |
$0.00 |
| 85027 |
|
422 |
413 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,148 |
1,140 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,262 |
1,965 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
919 |
746 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
171 |
169 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |
| 86592 |
|
13 |
13 |
$0.00 |
| 4450F |
|
29 |
27 |
$0.00 |
| 82043 |
|
283 |
269 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
113 |
113 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
608 |
471 |
$0.00 |
| 1220F |
|
326 |
323 |
$0.00 |
| 99443 |
|
31 |
28 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
27 |
$0.00 |
| 92250 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$0.00 |
| 86593 |
|
15 |
14 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |
| 99441 |
|
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
872 |
868 |
$0.00 |
| 82274 |
|
62 |
62 |
$0.00 |
| 99442 |
|
176 |
162 |
$0.00 |
| 86703 |
|
216 |
211 |
$0.00 |
| 82540 |
|
283 |
269 |
$0.00 |
| 84450 |
|
26 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |