| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82570 |
|
169 |
166 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
150 |
127 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
26 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
166 |
141 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
246 |
225 |
$0.00 |
| 82274 |
|
38 |
37 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
131 |
88 |
$0.00 |
| 81003 |
|
108 |
108 |
$0.00 |
| 82248 |
|
56 |
55 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
202 |
201 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
119 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
211 |
211 |
$0.00 |
| 80061 |
Lipid panel |
1,046 |
1,045 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
49 |
46 |
$0.00 |
| 92552 |
|
16 |
16 |
$0.00 |
| 81002 |
|
68 |
65 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
99 |
95 |
$0.00 |
| 84439 |
|
55 |
54 |
$0.00 |
| 99173 |
|
29 |
21 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| 84550 |
|
31 |
30 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 90658 |
|
14 |
13 |
$0.00 |
| 82043 |
|
150 |
150 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,928 |
1,722 |
$0.00 |
| 85027 |
|
278 |
259 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,399 |
1,351 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
184 |
184 |
$0.00 |
| 86706 |
|
140 |
139 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
200 |
199 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
307 |
175 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
34 |
29 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
726 |
711 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
641 |
641 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
385 |
385 |
$0.00 |
| 81001 |
|
453 |
451 |
$0.00 |
| 87340 |
|
133 |
133 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
179 |
162 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
35 |
27 |
$0.00 |
| 92551 |
|
66 |
66 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
353 |
309 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
473 |
456 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
212 |
211 |
$0.00 |
| 86803 |
|
99 |
99 |
$0.00 |
| 80050 |
General health panel |
306 |
306 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
34 |
$0.00 |
| 88142 |
|
28 |
28 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
47 |
$0.00 |
| 84153 |
|
105 |
105 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 99429 |
|
14 |
14 |
$0.00 |