| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84450 |
|
141 |
141 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,213 |
3,936 |
$0.00 |
| 86703 |
|
113 |
112 |
$0.00 |
| 80061 |
Lipid panel |
2,029 |
2,018 |
$0.00 |
| 85610 |
|
212 |
161 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
763 |
690 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
151 |
150 |
$0.00 |
| 99201 |
|
47 |
47 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
74 |
74 |
$0.00 |
| 86708 |
|
89 |
87 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
107 |
104 |
$0.00 |
| 92100 |
|
244 |
219 |
$0.00 |
| 98960 |
|
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
420 |
415 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
135 |
126 |
$0.00 |
| 82540 |
|
88 |
87 |
$0.00 |
| 86705 |
|
100 |
99 |
$0.00 |
| 90785 |
|
29 |
26 |
$0.00 |
| 1033F |
|
233 |
222 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
150 |
$0.00 |
| 84481 |
|
117 |
111 |
$0.00 |
| 82947 |
|
53 |
53 |
$0.00 |
| 2028F |
|
15 |
13 |
$0.00 |
| 84439 |
|
148 |
142 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
341 |
341 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
188 |
$0.00 |
| 92134 |
|
35 |
34 |
$0.00 |
| 85014 |
|
27 |
27 |
$0.00 |
| 83026 |
|
24 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
120 |
116 |
$0.00 |
| 80076 |
|
69 |
69 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 92083 |
|
12 |
12 |
$0.00 |
| 99173 |
|
189 |
189 |
$0.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
18 |
16 |
$0.00 |
| 90736 |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
39 |
$0.00 |
| 92250 |
|
379 |
372 |
$0.00 |
| 3008F |
|
1,296 |
1,251 |
$0.00 |
| 81001 |
|
289 |
281 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,048 |
2,042 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,501 |
1,463 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
512 |
507 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,466 |
10,083 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
37 |
$0.00 |
| 1220F |
|
3,257 |
3,163 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
57 |
$0.00 |
| 92285 |
|
211 |
190 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,894 |
1,843 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
909 |
869 |
$0.00 |
| 4450F |
|
405 |
393 |
$0.00 |
| 82043 |
|
88 |
87 |
$0.00 |
| 92227 |
|
90 |
90 |
$0.00 |
| 81015 |
|
144 |
141 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
146 |
145 |
$0.00 |
| 86592 |
|
113 |
112 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
247 |
240 |
$0.00 |
| 92551 |
|
57 |
57 |
$0.00 |
| 1000F |
|
137 |
133 |
$0.00 |
| 99243 |
|
12 |
12 |
$0.00 |
| 99606 |
|
155 |
111 |
$0.00 |
| 81000 |
|
70 |
52 |
$0.00 |
| 85027 |
|
190 |
190 |
$0.00 |
| 87088 |
|
174 |
169 |
$0.00 |
| 87340 |
|
98 |
97 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
116 |
116 |
$0.00 |
| 86706 |
|
87 |
86 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
110 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
105 |
103 |
$0.00 |
| 74174 |
|
26 |
26 |
$0.00 |
| 94760 |
|
92 |
88 |
$0.00 |
| 99385 |
|
16 |
16 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 99386 |
|
99 |
96 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
59 |
57 |
$0.00 |
| 88142 |
|
17 |
17 |
$0.00 |
| 85018 |
|
27 |
27 |
$0.00 |
| 86317 |
|
13 |
13 |
$0.00 |