| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,938 |
2,117 |
$29K |
| 0510 |
|
93 |
88 |
$2K |
| G9012 |
Other specified case management service not elsewhere classified |
20 |
14 |
$2K |
| 90686 |
|
153 |
153 |
$279.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
670 |
661 |
$110.50 |
| 80061 |
Lipid panel |
2,054 |
2,047 |
$22.96 |
| 99442 |
|
542 |
530 |
$18.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,664 |
2,647 |
$16.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
613 |
602 |
$14.40 |
| 82274 |
|
476 |
472 |
$14.00 |
| 86703 |
|
844 |
839 |
$11.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,143 |
1,944 |
$6.68 |
| 82043 |
|
883 |
867 |
$5.03 |
| 82540 |
|
883 |
867 |
$4.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,352 |
3,258 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,573 |
2,320 |
$0.00 |
| 1220F |
|
1,130 |
1,113 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
578 |
571 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,516 |
4,991 |
$0.00 |
| 3074F |
|
507 |
471 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
551 |
547 |
$0.00 |
| 82607 |
|
277 |
277 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
429 |
429 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
1,176 |
$0.00 |
| 86592 |
|
55 |
55 |
$0.00 |
| 1111F |
|
218 |
200 |
$0.00 |
| 86780 |
|
667 |
663 |
$0.00 |
| 87340 |
|
437 |
434 |
$0.00 |
| 99441 |
|
218 |
207 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
315 |
310 |
$0.00 |
| 3044F |
|
302 |
300 |
$0.00 |
| 3075F |
|
125 |
121 |
$0.00 |
| 86706 |
|
25 |
25 |
$0.00 |
| 81001 |
|
65 |
64 |
$0.00 |
| 85027 |
|
69 |
67 |
$0.00 |
| 3079F |
|
52 |
47 |
$0.00 |
| 85652 |
|
14 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
49 |
48 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
551 |
547 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,232 |
1,893 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
90 |
90 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3078F |
|
642 |
597 |
$0.00 |
| 83540 |
|
25 |
25 |
$0.00 |
| 77062 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
145 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
101 |
$0.00 |
| 3077F |
|
54 |
47 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| 2021F |
|
12 |
12 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |