| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80061 |
Lipid panel |
774 |
771 |
$0.00 |
| 86703 |
|
483 |
479 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
349 |
344 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
66 |
$0.00 |
| 3078F |
|
664 |
592 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
643 |
532 |
$0.00 |
| 82274 |
|
114 |
114 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
136 |
78 |
$0.00 |
| 3077F |
|
199 |
173 |
$0.00 |
| 82540 |
|
77 |
75 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
110 |
$0.00 |
| 80074 |
|
25 |
25 |
$0.00 |
| 86705 |
|
13 |
13 |
$0.00 |
| 86480 |
|
37 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
351 |
348 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
662 |
588 |
$0.00 |
| 1111F |
|
171 |
153 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
349 |
344 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
298 |
298 |
$0.00 |
| 86780 |
|
407 |
404 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,004 |
922 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,834 |
1,633 |
$0.00 |
| 3044F |
|
282 |
280 |
$0.00 |
| 3074F |
|
535 |
496 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
902 |
892 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
405 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
144 |
138 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
258 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
48 |
48 |
$0.00 |
| 85027 |
|
160 |
155 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
27 |
$0.00 |
| 3079F |
|
143 |
132 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |
| 87340 |
|
115 |
115 |
$0.00 |
| 3075F |
|
129 |
126 |
$0.00 |
| 82043 |
|
77 |
75 |
$0.00 |
| 86706 |
|
54 |
54 |
$0.00 |
| 3080F |
|
27 |
24 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |