| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
96 |
96 |
$1K |
| 92552 |
|
316 |
316 |
$149.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
50 |
$137.22 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
81 |
$98.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,090 |
1,951 |
$78.41 |
| 85018 |
|
358 |
356 |
$33.69 |
| 81002 |
|
212 |
212 |
$21.15 |
| 94760 |
|
1,059 |
1,009 |
$12.18 |
| 99173 |
|
329 |
328 |
$10.00 |
| 81000 |
|
70 |
70 |
$8.43 |
| 81003 |
|
122 |
121 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
168 |
166 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
72 |
$0.00 |
| 80061 |
Lipid panel |
369 |
364 |
$0.00 |
| 84439 |
|
227 |
225 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 81025 |
|
42 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
21 |
$0.00 |
| 82274 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$0.00 |
| 97803 |
|
21 |
21 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
118 |
117 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
554 |
540 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
888 |
834 |
$0.00 |
| 82607 |
|
70 |
69 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
538 |
525 |
$0.00 |
| 82043 |
|
46 |
46 |
$0.00 |
| 81001 |
|
223 |
220 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
167 |
165 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
404 |
398 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
362 |
359 |
$0.00 |
| 3008F |
|
22 |
22 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
157 |
157 |
$0.00 |
| 88142 |
|
131 |
131 |
$0.00 |
| 90651 |
|
44 |
43 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
71 |
69 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
14 |
14 |
$0.00 |
| 84154 |
|
14 |
13 |
$0.00 |
| 87070 |
|
28 |
28 |
$0.00 |
| 85652 |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
67 |
67 |
$0.00 |
| 86140 |
|
13 |
12 |
$0.00 |
| 84153 |
|
14 |
13 |
$0.00 |