| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
909 |
883 |
$957.79 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,518 |
3,075 |
$720.01 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,172 |
1,130 |
$0.00 |
| 83001 |
|
76 |
75 |
$0.00 |
| 3074F |
|
580 |
538 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
402 |
402 |
$0.00 |
| 82670 |
|
13 |
13 |
$0.00 |
| 85027 |
|
455 |
453 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,006 |
1,992 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,652 |
3,377 |
$0.00 |
| 2010F |
|
30 |
28 |
$0.00 |
| 82746 |
|
193 |
193 |
$0.00 |
| 87077 |
|
158 |
150 |
$0.00 |
| 82728 |
|
210 |
206 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,427 |
3,173 |
$0.00 |
| 84153 |
|
267 |
267 |
$0.00 |
| 82607 |
|
296 |
296 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,342 |
3,216 |
$0.00 |
| 3008F |
|
871 |
779 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
331 |
311 |
$0.00 |
| 87070 |
|
157 |
155 |
$0.00 |
| 81001 |
|
1,675 |
1,641 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
390 |
390 |
$0.00 |
| 85730 |
|
220 |
194 |
$0.00 |
| 86140 |
|
176 |
172 |
$0.00 |
| 82043 |
|
687 |
685 |
$0.00 |
| 83550 |
|
142 |
141 |
$0.00 |
| 88142 |
|
270 |
270 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
129 |
126 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
978 |
976 |
$0.00 |
| 84436 |
|
372 |
370 |
$0.00 |
| 2000F |
|
30 |
28 |
$0.00 |
| 87340 |
|
69 |
69 |
$0.00 |
| 86376 |
|
90 |
89 |
$0.00 |
| 3079F |
|
145 |
137 |
$0.00 |
| 86803 |
|
179 |
178 |
$0.00 |
| 85652 |
|
294 |
291 |
$0.00 |
| 87088 |
|
543 |
521 |
$0.00 |
| 83735 |
|
115 |
106 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
343 |
338 |
$0.00 |
| 3080F |
|
40 |
38 |
$0.00 |
| 83002 |
|
58 |
57 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
733 |
704 |
$0.00 |
| 84479 |
|
282 |
281 |
$0.00 |
| 1000F |
|
15 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,250 |
2,220 |
$0.00 |
| 86592 |
|
543 |
538 |
$0.00 |
| 86225 |
|
13 |
13 |
$0.00 |
| 84480 |
|
59 |
59 |
$0.00 |
| 80081 |
|
16 |
16 |
$0.00 |
| 2001F |
|
29 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 94760 |
|
18 |
13 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 86695 |
|
14 |
14 |
$0.00 |
| 82950 |
|
16 |
16 |
$0.00 |
| 86800 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
358 |
348 |
$0.00 |
| 81003 |
|
245 |
243 |
$0.00 |
| 83655 |
|
84 |
84 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1159F |
|
61 |
57 |
$0.00 |
| 3078F |
|
400 |
371 |
$0.00 |
| 82570 |
|
723 |
711 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
276 |
275 |
$0.00 |
| 85610 |
|
302 |
255 |
$0.00 |
| 84702 |
|
177 |
163 |
$0.00 |
| 3028F |
|
30 |
28 |
$0.00 |
| 82248 |
|
230 |
229 |
$0.00 |
| 87481 |
|
1,214 |
299 |
$0.00 |
| 80074 |
|
77 |
77 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
44 |
44 |
$0.00 |
| 87512 |
|
303 |
298 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
67 |
66 |
$0.00 |
| 82274 |
|
162 |
162 |
$0.00 |
| 86235 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
186 |
$0.00 |
| 84550 |
|
536 |
533 |
$0.00 |
| 83540 |
|
164 |
163 |
$0.00 |
| 86038 |
|
208 |
207 |
$0.00 |
| 1160F |
|
60 |
56 |
$0.00 |
| 80061 |
Lipid panel |
2,525 |
2,514 |
$0.00 |
| 80076 |
|
97 |
95 |
$0.00 |
| 84481 |
|
247 |
246 |
$0.00 |
| 82652 |
|
12 |
12 |
$0.00 |
| 87799 |
|
922 |
308 |
$0.00 |
| 97803 |
|
121 |
92 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,182 |
1,139 |
$0.00 |
| 86431 |
|
190 |
190 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
38 |
38 |
$0.00 |
| 84439 |
|
596 |
590 |
$0.00 |
| 87186 |
|
140 |
133 |
$0.00 |
| 86039 |
|
25 |
24 |
$0.00 |
| 84146 |
|
40 |
39 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
63 |
63 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
102 |
65 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |
| 84403 |
|
16 |
16 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 84100 |
|
60 |
57 |
$0.00 |
| 86787 |
|
13 |
13 |
$0.00 |
| 82785 |
|
12 |
12 |
$0.00 |
| 86696 |
|
26 |
26 |
$0.00 |
| 86200 |
|
15 |
15 |
$0.00 |
| 81025 |
|
42 |
42 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
23 |
12 |
$0.00 |
| 86003 |
|
13 |
13 |
$0.00 |