| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
348 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
130 |
130 |
$0.00 |
| 1220F |
|
17 |
17 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,282 |
1,205 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,845 |
2,492 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
112 |
112 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
780 |
732 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
251 |
240 |
$0.00 |
| 81001 |
|
58 |
53 |
$0.00 |
| 85027 |
|
247 |
242 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,192 |
1,175 |
$0.00 |
| 82043 |
|
38 |
38 |
$0.00 |
| 1111F |
|
139 |
134 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,015 |
952 |
$0.00 |
| 87340 |
|
97 |
97 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
32 |
32 |
$0.00 |
| 3074F |
|
338 |
304 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 3044F |
|
138 |
137 |
$0.00 |
| 3079F |
|
26 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
43 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$0.00 |
| 3075F |
|
30 |
27 |
$0.00 |
| 86780 |
|
13 |
13 |
$0.00 |
| 82728 |
|
13 |
13 |
$0.00 |
| 85610 |
|
97 |
82 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,428 |
1,257 |
$0.00 |
| 80061 |
Lipid panel |
1,036 |
1,027 |
$0.00 |
| 86703 |
|
204 |
203 |
$0.00 |
| 82274 |
|
54 |
54 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
33 |
33 |
$0.00 |
| 83540 |
|
13 |
13 |
$0.00 |
| 3078F |
|
380 |
344 |
$0.00 |
| 82540 |
|
38 |
38 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 80076 |
|
26 |
26 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$0.00 |