| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82274 |
|
415 |
415 |
$0.00 |
| 80061 |
Lipid panel |
1,342 |
1,332 |
$0.00 |
| 85610 |
|
249 |
203 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
765 |
712 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,314 |
1,120 |
$0.00 |
| 82540 |
|
439 |
429 |
$0.00 |
| 86703 |
|
501 |
501 |
$0.00 |
| 3078F |
|
1,488 |
1,348 |
$0.00 |
| 3051F |
|
63 |
62 |
$0.00 |
| 3077F |
|
303 |
278 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
129 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
192 |
190 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
55 |
$0.00 |
| 84439 |
|
31 |
29 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
377 |
198 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 83540 |
|
13 |
13 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$0.00 |
| 90750 |
|
98 |
98 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
103 |
103 |
$0.00 |
| 84100 |
|
53 |
38 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
47 |
46 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| 77062 |
|
27 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90653 |
|
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,574 |
3,164 |
$0.00 |
| 85730 |
|
76 |
75 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,070 |
1,901 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,794 |
1,636 |
$0.00 |
| 82043 |
|
439 |
429 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
410 |
410 |
$0.00 |
| 3075F |
|
312 |
303 |
$0.00 |
| 81001 |
|
191 |
168 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,082 |
1,882 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
420 |
408 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
720 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
502 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,655 |
1,643 |
$0.00 |
| 82728 |
|
25 |
25 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
522 |
508 |
$0.00 |
| 99441 |
|
388 |
377 |
$0.00 |
| 3074F |
|
1,007 |
922 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
192 |
190 |
$0.00 |
| 3079F |
|
190 |
186 |
$0.00 |
| 1220F |
|
410 |
406 |
$0.00 |
| 85027 |
|
117 |
112 |
$0.00 |
| 90656 |
|
91 |
91 |
$0.00 |
| 1111F |
|
374 |
353 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
181 |
147 |
$0.00 |
| 83735 |
|
164 |
114 |
$0.00 |
| 85652 |
|
47 |
43 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
308 |
307 |
$0.00 |
| 3044F |
|
361 |
359 |
$0.00 |
| 86780 |
|
162 |
162 |
$0.00 |
| 87340 |
|
96 |
96 |
$0.00 |
| 90686 |
|
73 |
73 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 86140 |
|
32 |
29 |
$0.00 |
| 92227 |
|
12 |
12 |
$0.00 |