| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,158 |
1,853 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,329 |
2,027 |
$178.88 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,574 |
2,563 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$0.00 |
| 85027 |
|
331 |
323 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,402 |
4,657 |
$0.00 |
| 99441 |
|
563 |
535 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,006 |
1,891 |
$0.00 |
| 3044F |
|
280 |
280 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,181 |
1,167 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
375 |
373 |
$0.00 |
| 87340 |
|
218 |
217 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,032 |
1,913 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
252 |
247 |
$0.00 |
| 3079F |
|
108 |
103 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
43 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
543 |
534 |
$0.00 |
| 81001 |
|
379 |
354 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
298 |
295 |
$0.00 |
| 3075F |
|
119 |
117 |
$0.00 |
| 1220F |
|
94 |
94 |
$0.00 |
| 86780 |
|
41 |
41 |
$0.00 |
| 3074F |
|
456 |
418 |
$0.00 |
| 82043 |
|
184 |
177 |
$0.00 |
| D1330 |
|
14 |
13 |
$0.00 |
| 90686 |
|
77 |
77 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 1111F |
|
189 |
172 |
$0.00 |
| 3078F |
|
556 |
513 |
$0.00 |
| 80061 |
Lipid panel |
2,268 |
2,256 |
$0.00 |
| 86703 |
|
351 |
350 |
$0.00 |
| 82540 |
|
184 |
177 |
$0.00 |
| 82274 |
|
440 |
440 |
$0.00 |
| 86480 |
|
30 |
30 |
$0.00 |
| 85610 |
|
224 |
163 |
$0.00 |
| 84460 |
|
197 |
197 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
177 |
177 |
$0.00 |
| 99442 |
|
248 |
240 |
$0.00 |
| 81003 |
|
140 |
129 |
$0.00 |
| 3077F |
|
125 |
114 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
78 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
25 |
$0.00 |
| 80076 |
|
149 |
147 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |
| 91300 |
|
22 |
20 |
$0.00 |