| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
295 |
138 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
464 |
443 |
$0.00 |
| 92552 |
|
55 |
55 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,900 |
3,415 |
$0.00 |
| 85610 |
|
93 |
87 |
$0.00 |
| 82274 |
|
88 |
84 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
270 |
233 |
$0.00 |
| 80061 |
Lipid panel |
1,775 |
1,764 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
964 |
956 |
$0.00 |
| 82947 |
|
174 |
174 |
$0.00 |
| 80076 |
|
598 |
592 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
251 |
236 |
$0.00 |
| 84439 |
|
159 |
157 |
$0.00 |
| 3078F |
|
129 |
126 |
$0.00 |
| 81003 |
|
1,055 |
1,031 |
$0.00 |
| 84550 |
|
454 |
451 |
$0.00 |
| 3725F |
|
114 |
114 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
270 |
99 |
$0.00 |
| 86677 |
|
26 |
26 |
$0.00 |
| 86038 |
|
66 |
66 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
48 |
$0.00 |
| 83655 |
|
136 |
136 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
85 |
$0.00 |
| 86900 |
|
66 |
66 |
$0.00 |
| 81002 |
|
49 |
49 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 86431 |
|
42 |
42 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
99 |
74 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
142 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
64 |
64 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
71 |
71 |
$0.00 |
| 87186 |
|
46 |
46 |
$0.00 |
| 85014 |
|
57 |
57 |
$0.00 |
| 81025 |
|
44 |
41 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 92081 |
|
41 |
41 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
90 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 86901 |
|
65 |
65 |
$0.00 |
| 81001 |
|
541 |
537 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,003 |
3,211 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
152 |
129 |
$0.00 |
| 86762 |
|
63 |
63 |
$0.00 |
| 84480 |
|
53 |
53 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,579 |
2,480 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,973 |
1,916 |
$0.00 |
| 1036F |
|
82 |
82 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,553 |
1,534 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
40 |
39 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
304 |
257 |
$0.00 |
| 3074F |
|
111 |
109 |
$0.00 |
| 86592 |
|
934 |
930 |
$0.00 |
| 86850 |
|
138 |
136 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
357 |
356 |
$0.00 |
| 84436 |
|
151 |
151 |
$0.00 |
| 82043 |
|
168 |
166 |
$0.00 |
| 3008F |
|
622 |
555 |
$0.00 |
| 82950 |
|
86 |
86 |
$0.00 |
| 84479 |
|
61 |
61 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
254 |
92 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
726 |
706 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
732 |
730 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
986 |
977 |
$0.00 |
| 87081 |
|
226 |
225 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
875 |
779 |
$0.00 |
| 3011F |
|
14 |
14 |
$0.00 |
| 85018 |
|
100 |
97 |
$0.00 |
| 87340 |
|
90 |
89 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
57 |
57 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
955 |
947 |
$0.00 |
| 4245F |
|
138 |
138 |
$0.00 |
| 85027 |
|
49 |
49 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
322 |
314 |
$0.00 |
| 85652 |
|
166 |
163 |
$0.00 |
| 99000 |
|
142 |
136 |
$0.00 |
| 93000 |
|
45 |
42 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
24 |
24 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
220 |
188 |
$0.00 |
| 88142 |
|
37 |
31 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
163 |
88 |
$0.00 |
| 3048F |
|
29 |
29 |
$0.00 |
| 84153 |
|
51 |
51 |
$0.00 |
| 85730 |
|
61 |
58 |
$0.00 |
| 87070 |
|
53 |
53 |
$0.00 |
| 87088 |
|
13 |
13 |
$0.00 |
| 84703 |
|
19 |
17 |
$0.00 |
| 90686 |
|
48 |
47 |
$0.00 |