| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
348 |
256 |
$13K |
| 0510 |
|
17 |
16 |
$212.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
183 |
180 |
$31.17 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
183 |
180 |
$31.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
877 |
869 |
$8.88 |
| 84439 |
|
62 |
62 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,431 |
1,238 |
$0.00 |
| 80061 |
Lipid panel |
1,044 |
1,038 |
$0.00 |
| 82274 |
|
358 |
358 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
262 |
165 |
$0.00 |
| 85610 |
|
158 |
154 |
$0.00 |
| 90750 |
|
117 |
117 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
139 |
139 |
$0.00 |
| 3077F |
|
234 |
220 |
$0.00 |
| 82540 |
|
456 |
446 |
$0.00 |
| 86703 |
|
398 |
397 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
194 |
193 |
$0.00 |
| 3078F |
|
1,398 |
1,250 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
94 |
94 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
449 |
$0.00 |
| 3046F |
|
29 |
28 |
$0.00 |
| 99245 |
|
27 |
27 |
$0.00 |
| 83540 |
|
41 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$0.00 |
| 85007 |
|
15 |
12 |
$0.00 |
| 84100 |
|
47 |
44 |
$0.00 |
| 81003 |
|
79 |
74 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,110 |
2,762 |
$0.00 |
| 3079F |
|
217 |
211 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,290 |
1,255 |
$0.00 |
| 87340 |
|
250 |
248 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,649 |
1,494 |
$0.00 |
| 3074F |
|
1,067 |
973 |
$0.00 |
| 85652 |
|
46 |
45 |
$0.00 |
| 3044F |
|
404 |
402 |
$0.00 |
| 81001 |
|
327 |
318 |
$0.00 |
| 1111F |
|
317 |
298 |
$0.00 |
| 86780 |
|
285 |
284 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
380 |
373 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
543 |
$0.00 |
| 90686 |
|
158 |
158 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
249 |
245 |
$0.00 |
| 82043 |
|
456 |
446 |
$0.00 |
| 83735 |
|
75 |
69 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,379 |
1,367 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
245 |
240 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,245 |
1,135 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
227 |
219 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
369 |
367 |
$0.00 |
| 85027 |
|
370 |
349 |
$0.00 |
| 3075F |
|
381 |
364 |
$0.00 |
| 82607 |
|
27 |
27 |
$0.00 |
| 90656 |
|
86 |
86 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 86706 |
|
38 |
38 |
$0.00 |
| 82728 |
|
27 |
27 |
$0.00 |
| 83550 |
|
15 |
15 |
$0.00 |
| 86140 |
|
26 |
25 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$0.00 |
| 85730 |
|
31 |
31 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |