| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
16 |
16 |
$640.00 |
| 0012A |
|
15 |
15 |
$600.00 |
| 80074 |
|
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
518 |
514 |
$0.00 |
| 84550 |
|
202 |
197 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 86038 |
|
26 |
25 |
$0.00 |
| 85610 |
|
32 |
27 |
$0.00 |
| 81003 |
|
113 |
113 |
$0.00 |
| 84439 |
|
31 |
31 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
61 |
61 |
$0.00 |
| 82947 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
81 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |
| 86592 |
|
54 |
53 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
783 |
759 |
$0.00 |
| 81001 |
|
258 |
256 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
515 |
510 |
$0.00 |
| 85730 |
|
17 |
14 |
$0.00 |
| 82043 |
|
121 |
118 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
150 |
143 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
819 |
775 |
$0.00 |
| 82746 |
|
42 |
42 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
572 |
564 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
365 |
361 |
$0.00 |
| 82607 |
|
92 |
92 |
$0.00 |
| 83735 |
|
17 |
15 |
$0.00 |
| 84436 |
|
295 |
293 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
34 |
$0.00 |
| 85652 |
|
123 |
121 |
$0.00 |
| 84153 |
|
73 |
71 |
$0.00 |
| 84479 |
|
285 |
283 |
$0.00 |
| 86140 |
|
80 |
79 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,020 |
959 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
61 |
61 |
$0.00 |
| 94760 |
|
98 |
94 |
$0.00 |