| Code | Description | Claims | Beneficiaries | Total Paid |
| 88141 |
|
22 |
12 |
$1K |
| 80061 |
Lipid panel |
735 |
709 |
$0.00 |
| 86431 |
|
145 |
144 |
$0.00 |
| 81003 |
|
413 |
399 |
$0.00 |
| 86038 |
|
136 |
133 |
$0.00 |
| 83540 |
|
98 |
97 |
$0.00 |
| 87338 |
|
27 |
27 |
$0.00 |
| 82274 |
|
86 |
85 |
$0.00 |
| 84550 |
|
139 |
135 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
327 |
312 |
$0.00 |
| 83970 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 97803 |
|
18 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$0.00 |
| 85610 |
|
13 |
12 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
16 |
16 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
579 |
563 |
$0.00 |
| 82728 |
|
90 |
90 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
403 |
389 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
47 |
46 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
919 |
856 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
146 |
138 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,587 |
1,422 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
843 |
796 |
$0.00 |
| 1220F |
|
279 |
277 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
466 |
$0.00 |
| 82378 |
|
13 |
13 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
197 |
196 |
$0.00 |
| 83550 |
|
85 |
85 |
$0.00 |
| 85652 |
|
132 |
131 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
654 |
623 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 86706 |
|
31 |
30 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
245 |
241 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
97 |
93 |
$0.00 |
| 87340 |
|
55 |
54 |
$0.00 |
| 86592 |
|
42 |
41 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 86803 |
|
42 |
41 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
83 |
83 |
$0.00 |
| 82746 |
|
24 |
24 |
$0.00 |
| 82607 |
|
27 |
27 |
$0.00 |
| 0545F |
|
22 |
22 |
$0.00 |