| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3074F |
|
1,192 |
897 |
$0.00 |
| 86850 |
|
28 |
28 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
479 |
473 |
$0.00 |
| 85027 |
|
581 |
560 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
681 |
617 |
$0.00 |
| 3079F |
|
50 |
43 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
132 |
131 |
$0.00 |
| 86780 |
|
378 |
376 |
$0.00 |
| 3075F |
|
78 |
70 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
346 |
341 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,090 |
1,811 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
42 |
42 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
256 |
250 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
324 |
$0.00 |
| 86762 |
|
56 |
56 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
517 |
516 |
$0.00 |
| 81000 |
|
207 |
169 |
$0.00 |
| 1111F |
|
150 |
143 |
$0.00 |
| 87340 |
|
87 |
87 |
$0.00 |
| 80422 |
|
28 |
25 |
$0.00 |
| 3044F |
|
238 |
237 |
$0.00 |
| 85018 |
|
24 |
24 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
37 |
37 |
$0.00 |
| 86706 |
|
25 |
25 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
128 |
128 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
29 |
$0.00 |
| 90656 |
|
70 |
70 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 86901 |
|
40 |
40 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |
| 83021 |
|
24 |
24 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| 99441 |
|
15 |
15 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
346 |
341 |
$0.00 |
| 86765 |
|
59 |
58 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
536 |
461 |
$0.00 |
| 80061 |
Lipid panel |
265 |
265 |
$0.00 |
| 59025 |
Fetal non-stress test |
231 |
75 |
$0.00 |
| 85041 |
|
24 |
24 |
$0.00 |
| 86703 |
|
208 |
207 |
$0.00 |
| 99442 |
|
42 |
42 |
$0.00 |
| 86480 |
|
92 |
91 |
$0.00 |
| 85014 |
|
24 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
35 |
$0.00 |
| 86900 |
|
40 |
40 |
$0.00 |
| 3078F |
|
1,210 |
914 |
$0.00 |
| 86787 |
|
73 |
72 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |