| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 86003 |
|
64 |
64 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
802 |
800 |
$0.00 |
| 80061 |
Lipid panel |
248 |
243 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
496 |
495 |
$0.00 |
| 96160 |
|
411 |
411 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
330 |
$0.00 |
| 84439 |
|
238 |
235 |
$0.00 |
| 82565 |
|
131 |
130 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 82947 |
|
164 |
163 |
$0.00 |
| 83655 |
|
202 |
201 |
$0.00 |
| 80076 |
|
169 |
167 |
$0.00 |
| 84681 |
|
143 |
142 |
$0.00 |
| 81003 |
|
153 |
150 |
$0.00 |
| 90648 |
|
48 |
47 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$0.00 |
| 92552 |
|
75 |
75 |
$0.00 |
| 85610 |
|
28 |
28 |
$0.00 |
| 83525 |
|
199 |
197 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$0.00 |
| 90707 |
|
34 |
34 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
33 |
$0.00 |
| 90670 |
|
49 |
48 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
118 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$0.00 |
| 99173 |
|
91 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
893 |
832 |
$0.00 |
| 84436 |
|
159 |
158 |
$0.00 |
| 84480 |
|
155 |
154 |
$0.00 |
| 92587 |
|
15 |
15 |
$0.00 |
| 84479 |
|
128 |
127 |
$0.00 |
| 94760 |
|
552 |
522 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
228 |
$0.00 |
| 86005 |
|
30 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
171 |
$0.00 |
| 87081 |
|
115 |
115 |
$0.00 |
| 82043 |
|
139 |
138 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
235 |
213 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
315 |
308 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
193 |
182 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
293 |
261 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
84 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$0.00 |
| 90716 |
|
33 |
33 |
$0.00 |
| 85018 |
|
200 |
200 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
434 |
412 |
$0.00 |
| 90686 |
|
133 |
133 |
$0.00 |
| 92551 |
|
34 |
34 |
$0.00 |
| 86580 |
|
38 |
38 |
$0.00 |
| 90723 |
|
28 |
27 |
$0.00 |
| 85730 |
|
28 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
42 |
$0.00 |
| 87070 |
|
38 |
38 |
$0.00 |
| 90680 |
|
22 |
21 |
$0.00 |