| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82540 |
|
263 |
248 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
978 |
830 |
$0.00 |
| 80061 |
Lipid panel |
863 |
858 |
$0.00 |
| 85610 |
|
50 |
44 |
$0.00 |
| 86703 |
|
250 |
249 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 86705 |
|
69 |
69 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 3077F |
|
113 |
107 |
$0.00 |
| 3078F |
|
405 |
375 |
$0.00 |
| 82565 |
|
29 |
28 |
$0.00 |
| 82274 |
|
91 |
90 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
84 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
64 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 86765 |
|
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
368 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
551 |
$0.00 |
| 86706 |
|
225 |
224 |
$0.00 |
| 3074F |
|
288 |
274 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
259 |
256 |
$0.00 |
| 82043 |
|
263 |
248 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,155 |
1,129 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
204 |
$0.00 |
| 3044F |
|
192 |
189 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,098 |
1,028 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
242 |
241 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,925 |
2,518 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
152 |
148 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,042 |
937 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
36 |
35 |
$0.00 |
| 87340 |
|
119 |
119 |
$0.00 |
| 81001 |
|
143 |
130 |
$0.00 |
| 3075F |
|
87 |
84 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
139 |
138 |
$0.00 |
| 90686 |
|
61 |
61 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$0.00 |
| 86780 |
|
28 |
28 |
$0.00 |
| 3079F |
|
59 |
56 |
$0.00 |
| 83735 |
|
15 |
13 |
$0.00 |
| 1111F |
|
98 |
92 |
$0.00 |
| 85027 |
|
54 |
50 |
$0.00 |