| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,683 |
1,060 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,664 |
1,889 |
$990.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$342.89 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$341.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,453 |
950 |
$199.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
451 |
381 |
$141.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
951 |
946 |
$0.00 |
| 82043 |
|
290 |
284 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
245 |
$0.00 |
| 1220F |
|
1,075 |
1,041 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,132 |
1,081 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,751 |
1,645 |
$0.00 |
| 90686 |
|
134 |
133 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
95 |
91 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
625 |
586 |
$0.00 |
| 85027 |
|
32 |
32 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
383 |
381 |
$0.00 |
| 99441 |
|
226 |
212 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 81001 |
|
13 |
12 |
$0.00 |
| 80061 |
Lipid panel |
1,161 |
1,154 |
$0.00 |
| 82540 |
|
291 |
285 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| 99442 |
|
210 |
202 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
14 |
$0.00 |
| 82274 |
|
27 |
27 |
$0.00 |