| Code | Description | Claims | Beneficiaries | Total Paid |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
263 |
260 |
$0.00 |
| 82043 |
|
136 |
134 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,273 |
1,248 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
389 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,367 |
2,157 |
$0.00 |
| 85027 |
|
125 |
118 |
$0.00 |
| 1111F |
|
168 |
155 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
628 |
589 |
$0.00 |
| 3044F |
|
223 |
220 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
295 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,339 |
1,276 |
$0.00 |
| 3079F |
|
118 |
113 |
$0.00 |
| 86780 |
|
194 |
194 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
475 |
$0.00 |
| 3074F |
|
529 |
491 |
$0.00 |
| 3075F |
|
120 |
119 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
114 |
114 |
$0.00 |
| 87340 |
|
24 |
24 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
45 |
$0.00 |
| 90656 |
|
45 |
45 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
1,093 |
1,079 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,011 |
871 |
$0.00 |
| 86703 |
|
374 |
373 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
263 |
260 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
155 |
$0.00 |
| 99442 |
|
304 |
283 |
$0.00 |
| 82540 |
|
136 |
134 |
$0.00 |
| 82274 |
|
27 |
27 |
$0.00 |
| 3078F |
|
616 |
556 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 3077F |
|
81 |
78 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |