| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,115 |
1,382 |
$756.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
281 |
280 |
$14.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
923 |
778 |
$12.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,118 |
1,114 |
$8.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
486 |
470 |
$1.45 |
| 85027 |
|
210 |
209 |
$0.00 |
| 99443 |
|
170 |
167 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
203 |
199 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,143 |
1,958 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
557 |
540 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
99 |
$0.00 |
| 99441 |
|
142 |
134 |
$0.00 |
| 82043 |
|
209 |
207 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
508 |
488 |
$0.00 |
| 1220F |
|
117 |
115 |
$0.00 |
| 81001 |
|
44 |
43 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
25 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 86592 |
|
28 |
28 |
$0.00 |
| 82540 |
|
209 |
207 |
$0.00 |
| 80061 |
Lipid panel |
705 |
702 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
68 |
$0.00 |
| 1033F |
|
86 |
85 |
$0.00 |
| 86703 |
|
110 |
110 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
198 |
$0.00 |
| 99442 |
|
409 |
394 |
$0.00 |
| 82274 |
|
42 |
42 |
$0.00 |
| 84450 |
|
59 |
59 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
25 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
37 |
24 |
$0.00 |
| 82565 |
|
27 |
27 |
$0.00 |
| 80076 |
|
13 |
13 |
$0.00 |