| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,872 |
1,706 |
$91K |
| 36415 |
Collection of venous blood by venipuncture |
3,095 |
2,743 |
$10K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
352 |
343 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
245 |
238 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
233 |
225 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
111 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
172 |
169 |
$6K |
| 85027 |
|
577 |
539 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
154 |
151 |
$4K |
| 86780 |
|
229 |
221 |
$3K |
| 87653 |
|
69 |
68 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
67 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
234 |
225 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
96 |
95 |
$2K |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
167 |
150 |
$2K |
| 99000 |
|
127 |
122 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
151 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 90686 |
|
84 |
82 |
$885.97 |
| 86803 |
|
50 |
49 |
$726.84 |
| 87340 |
|
50 |
50 |
$501.87 |
| 81025 |
|
49 |
47 |
$394.94 |
| 87210 |
|
110 |
103 |
$356.92 |
| 81001 |
|
94 |
92 |
$263.34 |
| 86850 |
|
25 |
24 |
$234.38 |
| 87102 |
|
28 |
28 |
$201.36 |
| 86762 |
|
12 |
12 |
$179.46 |
| 87205 |
|
42 |
42 |
$169.32 |
| 86900 |
|
39 |
38 |
$118.48 |
| 86901 |
|
39 |
38 |
$115.32 |
| 99459 |
|
13 |
13 |
$36.47 |