| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82274 |
|
360 |
360 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
178 |
178 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,554 |
1,348 |
$0.00 |
| 80061 |
Lipid panel |
1,776 |
1,766 |
$0.00 |
| 82540 |
|
231 |
231 |
$0.00 |
| 3078F |
|
1,380 |
1,252 |
$0.00 |
| 3046F |
|
45 |
42 |
$0.00 |
| 3077F |
|
253 |
225 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 86703 |
|
364 |
362 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
145 |
$0.00 |
| 80076 |
|
319 |
314 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| 81003 |
|
41 |
40 |
$0.00 |
| 3051F |
|
15 |
15 |
$0.00 |
| 83540 |
|
79 |
77 |
$0.00 |
| 84439 |
|
63 |
62 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 77062 |
|
33 |
33 |
$0.00 |
| 85610 |
|
19 |
12 |
$0.00 |
| 86705 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$0.00 |
| D4341 |
|
15 |
14 |
$0.00 |
| 86480 |
|
14 |
14 |
$0.00 |
| D1330 |
|
167 |
162 |
$0.00 |
| 3074F |
|
1,129 |
1,032 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,273 |
1,208 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,932 |
1,916 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
680 |
663 |
$0.00 |
| 87340 |
|
207 |
206 |
$0.00 |
| 3079F |
|
256 |
245 |
$0.00 |
| 82728 |
|
57 |
56 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
550 |
532 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,636 |
1,576 |
$0.00 |
| 83550 |
|
78 |
77 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,532 |
1,442 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
125 |
122 |
$0.00 |
| D9215 |
|
25 |
25 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
307 |
304 |
$0.00 |
| 86780 |
|
56 |
56 |
$0.00 |
| 82043 |
|
231 |
231 |
$0.00 |
| 3044F |
|
522 |
515 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,067 |
3,555 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
368 |
363 |
$0.00 |
| 81001 |
|
139 |
136 |
$0.00 |
| 86706 |
|
66 |
66 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
335 |
327 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 3075F |
|
307 |
295 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 1111F |
|
364 |
330 |
$0.00 |
| 85027 |
|
208 |
205 |
$0.00 |
| 85652 |
|
41 |
39 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
49 |
48 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
120 |
115 |
$0.00 |
| 86141 |
|
32 |
30 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
42 |
42 |
$0.00 |
| 90656 |
|
51 |
51 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |