| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80061 |
Lipid panel |
129 |
129 |
$261.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
141 |
140 |
$107.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$79.90 |
| 80053 |
Comprehensive metabolic panel |
189 |
181 |
$68.13 |
| 86592 |
|
12 |
12 |
$38.75 |
| 84443 |
Thyroid stimulating hormone (TSH) |
146 |
146 |
$14.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
201 |
195 |
$1.35 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
148 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 81003 |
|
71 |
71 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40 |
39 |
$0.00 |