| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
54 |
$2K |
| 86900 |
|
71 |
70 |
$0.00 |
| 86480 |
|
44 |
43 |
$0.00 |
| 86703 |
|
465 |
465 |
$0.00 |
| 80061 |
Lipid panel |
261 |
261 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
393 |
389 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
891 |
623 |
$0.00 |
| 3078F |
|
825 |
596 |
$0.00 |
| 84439 |
|
13 |
12 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 86765 |
|
14 |
14 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$0.00 |
| 85027 |
|
388 |
384 |
$0.00 |
| 86780 |
|
491 |
491 |
$0.00 |
| 3075F |
|
79 |
66 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
240 |
227 |
$0.00 |
| 3044F |
|
135 |
135 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
469 |
451 |
$0.00 |
| 86850 |
|
71 |
70 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
247 |
234 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
457 |
457 |
$0.00 |
| 87081 |
|
66 |
66 |
$0.00 |
| 86901 |
|
71 |
70 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
346 |
334 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
209 |
209 |
$0.00 |
| 81001 |
|
71 |
70 |
$0.00 |
| 87340 |
|
95 |
95 |
$0.00 |
| 3074F |
|
780 |
573 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
393 |
389 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,289 |
1,133 |
$0.00 |
| 80422 |
|
161 |
149 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
70 |
70 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
128 |
126 |
$0.00 |
| 86762 |
|
26 |
26 |
$0.00 |
| 3079F |
|
56 |
47 |
$0.00 |
| 1111F |
|
153 |
130 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
38 |
38 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |