| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,822 |
1,805 |
$118.45 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,820 |
1,803 |
$118.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,204 |
2,457 |
$47.76 |
| 86592 |
|
1,432 |
1,425 |
$12.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,211 |
2,179 |
$0.00 |
| 86780 |
|
589 |
587 |
$0.00 |
| 1220F |
|
1,004 |
943 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
268 |
266 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,887 |
2,724 |
$0.00 |
| 87536 |
|
1,495 |
1,489 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,412 |
2,372 |
$0.00 |
| 85027 |
|
83 |
83 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,198 |
1,196 |
$0.00 |
| 88187 |
|
2,384 |
2,374 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 81001 |
|
250 |
246 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
712 |
707 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
250 |
$0.00 |
| 99441 |
|
235 |
221 |
$0.00 |
| 3044F |
|
65 |
65 |
$0.00 |
| 3074F |
|
271 |
253 |
$0.00 |
| D0411 |
|
215 |
215 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 1034F |
|
51 |
49 |
$0.00 |
| 3079F |
|
100 |
95 |
$0.00 |
| 86593 |
|
206 |
203 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 1111F |
|
85 |
76 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,562 |
1,370 |
$0.00 |
| 80061 |
Lipid panel |
2,034 |
2,027 |
$0.00 |
| 80305 |
|
1,143 |
1,137 |
$0.00 |
| 1033F |
|
249 |
237 |
$0.00 |
| 86480 |
|
243 |
243 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
127 |
$0.00 |
| 99442 |
|
834 |
784 |
$0.00 |
| 81003 |
|
239 |
238 |
$0.00 |
| 3078F |
|
231 |
213 |
$0.00 |
| 90658 |
|
26 |
26 |
$0.00 |
| 90611 |
|
13 |
13 |
$0.00 |
| 98968 |
|
22 |
12 |
$0.00 |
| 91300 |
|
30 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |