| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,595 |
4,886 |
$279K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
750 |
736 |
$49K |
| 76830 |
Ultrasound, transvaginal |
684 |
657 |
$41K |
| 99385 |
|
287 |
269 |
$29K |
| 87480 |
|
1,667 |
1,560 |
$28K |
| 87660 |
|
1,669 |
1,561 |
$27K |
| 87510 |
|
1,554 |
1,452 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
262 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
182 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
169 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
93 |
81 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
198 |
181 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
49 |
48 |
$10K |
| 76818 |
|
140 |
128 |
$9K |
| 81025 |
|
1,100 |
1,060 |
$6K |
| 76813 |
|
51 |
49 |
$4K |
| 86850 |
|
64 |
61 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
24 |
24 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$2K |
| 81001 |
|
98 |
92 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
53 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
136 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$1K |
| 86900 |
|
64 |
61 |
$1K |
| 86901 |
|
64 |
61 |
$1K |
| 58300 |
|
13 |
13 |
$743.09 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$682.60 |
| 81002 |
|
193 |
160 |
$418.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$414.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$177.63 |
| 3078F |
|
1,759 |
1,504 |
$7.02 |
| 1036F |
|
1,537 |
1,341 |
$6.03 |
| 3074F |
|
1,250 |
1,073 |
$1.18 |
| 3079F |
|
299 |
270 |
$0.64 |
| 4004F |
|
18 |
14 |
$0.17 |
| 3077F |
|
15 |
12 |
$0.01 |
| 3075F |
|
13 |
12 |
$0.00 |