| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,124 |
3,718 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,491 |
2,099 |
$150K |
| 76830 |
Ultrasound, transvaginal |
1,349 |
1,253 |
$84K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,327 |
1,232 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
341 |
312 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
212 |
201 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
673 |
526 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
374 |
340 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
374 |
340 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
362 |
330 |
$9K |
| 82670 |
|
428 |
347 |
$8K |
| 84403 |
|
431 |
358 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
674 |
512 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
419 |
332 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
182 |
119 |
$5K |
| 83001 |
|
437 |
353 |
$5K |
| 82607 |
|
495 |
415 |
$4K |
| 86803 |
|
391 |
317 |
$3K |
| 87285 |
|
396 |
320 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
53 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
589 |
474 |
$3K |
| 87340 |
|
413 |
328 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
177 |
172 |
$1K |
| 99385 |
|
14 |
13 |
$928.32 |
| 81514 |
|
43 |
28 |
$414.20 |
| 81025 |
|
41 |
36 |
$237.30 |
| 85004 |
|
85 |
44 |
$228.57 |
| 83002 |
|
13 |
12 |
$145.80 |