| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73630 |
|
436 |
417 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
372 |
360 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
584 |
553 |
$0.00 |
| 92015 |
Determination of refractive state |
601 |
599 |
$0.00 |
| 82247 |
|
1,844 |
1,724 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,240 |
1,216 |
$0.00 |
| 92557 |
|
70 |
69 |
$0.00 |
| 81003 |
|
1,126 |
1,089 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
76 |
75 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
2,352 |
1,630 |
$0.00 |
| 83721 |
|
822 |
820 |
$0.00 |
| 86334 |
|
106 |
103 |
$0.00 |
| 77080 |
|
1,844 |
1,738 |
$0.00 |
| 80061 |
Lipid panel |
5,569 |
5,553 |
$0.00 |
| 84460 |
|
5,884 |
5,744 |
$0.00 |
| 87186 |
|
1,145 |
1,115 |
$0.00 |
| 73610 |
|
236 |
213 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
955 |
898 |
$0.00 |
| 85610 |
|
1,907 |
1,421 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
73 |
25 |
$0.00 |
| 82947 |
|
2,029 |
1,981 |
$0.00 |
| 86256 |
|
97 |
97 |
$0.00 |
| 72100 |
|
245 |
233 |
$0.00 |
| 84450 |
|
1,141 |
1,122 |
$0.00 |
| 73110 |
|
61 |
53 |
$0.00 |
| 82310 |
|
1,823 |
1,777 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
86 |
85 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
301 |
167 |
$0.00 |
| 84100 |
|
737 |
722 |
$0.00 |
| 92134 |
|
254 |
145 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$0.00 |
| 87102 |
|
77 |
69 |
$0.00 |
| 84403 |
|
308 |
305 |
$0.00 |
| 73562 |
|
685 |
656 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
99 |
$0.00 |
| 87045 |
|
72 |
69 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
210 |
149 |
$0.00 |
| 84295 |
|
444 |
440 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
41 |
40 |
$0.00 |
| 82565 |
|
9,959 |
9,609 |
$0.00 |
| 96153 |
|
27 |
12 |
$0.00 |
| 84520 |
|
2,248 |
2,141 |
$0.00 |
| 84439 |
|
1,515 |
1,487 |
$0.00 |
| 84550 |
|
416 |
415 |
$0.00 |
| 83970 |
|
761 |
754 |
$0.00 |
| 86480 |
|
99 |
99 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,783 |
875 |
$0.00 |
| 73030 |
|
571 |
533 |
$0.00 |
| 83540 |
|
1,247 |
1,231 |
$0.00 |
| 86431 |
|
118 |
118 |
$0.00 |
| 82465 |
|
356 |
356 |
$0.00 |
| 83718 |
|
344 |
344 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
26 |
26 |
$0.00 |
| 82274 |
|
2,328 |
2,325 |
$0.00 |
| 84156 |
|
160 |
158 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
128 |
125 |
$0.00 |
| 73130 |
|
89 |
87 |
$0.00 |
| 81207 |
|
15 |
15 |
$0.00 |
| 81206 |
|
15 |
15 |
$0.00 |
| 84146 |
|
67 |
66 |
$0.00 |
| 86003 |
|
165 |
165 |
$0.00 |
| 86038 |
|
123 |
123 |
$0.00 |
| 86787 |
|
41 |
41 |
$0.00 |
| 82977 |
|
24 |
24 |
$0.00 |
| 73140 |
|
15 |
14 |
$0.00 |
| 85014 |
|
138 |
136 |
$0.00 |
| 86677 |
|
85 |
85 |
$0.00 |
| 84165 |
|
247 |
243 |
$0.00 |
| 87327 |
|
14 |
14 |
$0.00 |
| 87185 |
|
52 |
51 |
$0.00 |
| 82248 |
|
176 |
176 |
$0.00 |
| 84702 |
|
75 |
71 |
$0.00 |
| 83655 |
|
43 |
43 |
$0.00 |
| 82570 |
|
189 |
183 |
$0.00 |
| 87210 |
|
26 |
25 |
$0.00 |
| 11721 |
|
293 |
291 |
$0.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
58 |
54 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
55 |
$0.00 |
| 86336 |
|
47 |
47 |
$0.00 |
| 86235 |
|
28 |
28 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
50 |
27 |
$0.00 |
| 92083 |
|
38 |
26 |
$0.00 |
| 80164 |
|
38 |
35 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
50 |
50 |
$0.00 |
| 88112 |
|
64 |
62 |
$0.00 |
| 84155 |
|
50 |
50 |
$0.00 |
| 85046 |
|
13 |
13 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
35 |
26 |
$0.00 |
| 88173 |
|
43 |
40 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
32 |
25 |
$0.00 |
| 86708 |
|
12 |
12 |
$0.00 |
| 93880 |
|
15 |
14 |
$0.00 |
| 73100 |
|
16 |
12 |
$0.00 |
| 76770 |
|
15 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,183 |
3,085 |
$0.00 |
| 82040 |
|
1,167 |
1,155 |
$0.00 |
| 82746 |
|
503 |
502 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,813 |
1,770 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
950 |
892 |
$0.00 |
| 82728 |
|
1,214 |
1,197 |
$0.00 |
| 83520 |
|
387 |
224 |
$0.00 |
| 83021 |
|
51 |
51 |
$0.00 |
| 84075 |
|
1,806 |
1,709 |
$0.00 |
| 76641 |
|
14 |
14 |
$0.00 |
| 80197 |
|
223 |
187 |
$0.00 |
| 84153 |
|
896 |
884 |
$0.00 |
| 85652 |
|
346 |
342 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,791 |
1,590 |
$0.00 |
| 85027 |
|
1,796 |
1,760 |
$0.00 |
| 82550 |
|
91 |
90 |
$0.00 |
| 87340 |
|
509 |
503 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,541 |
10,459 |
$0.00 |
| 73560 |
|
167 |
117 |
$0.00 |
| 86317 |
|
167 |
165 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
691 |
654 |
$0.00 |
| 83690 |
|
70 |
70 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
449 |
449 |
$0.00 |
| 83735 |
|
576 |
562 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
103 |
100 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,662 |
1,171 |
$0.00 |
| 73564 |
|
28 |
26 |
$0.00 |
| 87070 |
|
437 |
419 |
$0.00 |
| 83921 |
|
249 |
248 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
136 |
$0.00 |
| 80051 |
|
7,084 |
6,851 |
$0.00 |
| 84480 |
|
95 |
95 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,569 |
1,565 |
$0.00 |
| 87081 |
|
730 |
722 |
$0.00 |
| 82105 |
|
231 |
231 |
$0.00 |
| 92567 |
|
58 |
57 |
$0.00 |
| 86300 |
|
32 |
31 |
$0.00 |
| 86160 |
|
115 |
114 |
$0.00 |
| 86803 |
|
419 |
413 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,734 |
4,704 |
$0.00 |
| 82378 |
|
115 |
109 |
$0.00 |
| 83550 |
|
1,219 |
1,204 |
$0.00 |
| 84134 |
|
264 |
257 |
$0.00 |
| 86335 |
|
51 |
51 |
$0.00 |
| 84132 |
|
1,066 |
1,036 |
$0.00 |
| 82607 |
|
1,182 |
1,180 |
$0.00 |
| 87040 |
|
376 |
218 |
$0.00 |
| 86780 |
|
1,019 |
927 |
$0.00 |
| 86301 |
|
13 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
605 |
599 |
$0.00 |
| 83880 |
|
29 |
28 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
78 |
78 |
$0.00 |
| 82985 |
|
96 |
96 |
$0.00 |
| 82677 |
|
47 |
47 |
$0.00 |
| 86704 |
|
164 |
162 |
$0.00 |
| 82043 |
|
4,288 |
4,266 |
$0.00 |
| 85018 |
|
76 |
75 |
$0.00 |
| 87255 |
|
69 |
69 |
$0.00 |
| 86225 |
|
152 |
151 |
$0.00 |
| 82784 |
|
241 |
234 |
$0.00 |
| 86140 |
|
407 |
403 |
$0.00 |
| 87088 |
|
3,477 |
3,288 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
125 |
119 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
12 |
$0.00 |
| 92227 |
|
355 |
354 |
$0.00 |
| 86762 |
|
37 |
37 |
$0.00 |
| 82150 |
|
35 |
33 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
16 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
30 |
$0.00 |
| 87206 |
|
80 |
57 |
$0.00 |
| 82533 |
|
27 |
27 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |
| 86304 |
|
12 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
15 |
12 |
$0.00 |
| 82962 |
|
15 |
15 |
$0.00 |
| 80359 |
|
15 |
15 |
$0.00 |
| 82670 |
|
13 |
13 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$0.00 |
| 85730 |
|
34 |
34 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$0.00 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
448 |
447 |
$0.00 |
| 83615 |
|
44 |
42 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
48 |
$0.00 |
| 86635 |
|
96 |
47 |
$0.00 |
| 87116 |
|
67 |
47 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
27 |
27 |
$0.00 |
| 11055 |
|
32 |
32 |
$0.00 |
| 83001 |
|
25 |
25 |
$0.00 |
| 86885 |
|
15 |
15 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| 86592 |
|
80 |
78 |
$0.00 |
| 84484 |
|
16 |
16 |
$0.00 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$0.00 |
| 88108 |
|
13 |
12 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
74 |
73 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 87046 |
|
14 |
14 |
$0.00 |
| 86376 |
|
16 |
16 |
$0.00 |