| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,944 |
2,357 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
544 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
392 |
365 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
997 |
954 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
293 |
$25K |
| 76818 |
|
145 |
82 |
$12K |
| 87511 |
|
172 |
172 |
$7K |
| 76830 |
Ultrasound, transvaginal |
35 |
35 |
$5K |
| 59430 |
|
15 |
15 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
73 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$4K |
| 76813 |
|
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
48 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
854 |
817 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
31 |
$652.16 |
| 81513 |
|
122 |
104 |
$590.58 |
| 87481 |
|
477 |
311 |
$571.90 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
475 |
443 |
$325.26 |
| 96127 |
|
14 |
13 |
$181.79 |
| 81025 |
|
19 |
19 |
$154.62 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
159 |
158 |
$142.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
18 |
$105.68 |
| 76820 |
|
19 |
12 |
$45.22 |
| 81003 |
|
12 |
12 |
$39.60 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
91 |
91 |
$0.00 |
| 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 |
120 |
97 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
172 |
172 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 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 |
35 |
30 |
$0.00 |