| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,562 |
4,006 |
$318K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,532 |
2,814 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,564 |
1,468 |
$152K |
| 76830 |
Ultrasound, transvaginal |
1,986 |
1,920 |
$140K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
544 |
544 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
201 |
201 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
195 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
237 |
208 |
$17K |
| 81002 |
|
8,294 |
5,630 |
$13K |
| 86738 |
|
604 |
580 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
598 |
591 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
597 |
590 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
307 |
306 |
$8K |
| 87510 |
|
627 |
610 |
$7K |
| 87480 |
|
627 |
610 |
$7K |
| 87660 |
|
626 |
609 |
$7K |
| 82670 |
|
270 |
270 |
$6K |
| 84403 |
|
256 |
256 |
$6K |
| 86703 |
|
601 |
542 |
$6K |
| 81025 |
|
2,261 |
2,042 |
$5K |
| 84402 |
|
226 |
226 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
221 |
220 |
$5K |
| 84146 |
|
274 |
273 |
$5K |
| 82627 |
|
262 |
262 |
$5K |
| 86696 |
|
389 |
385 |
$4K |
| 87340 |
|
592 |
533 |
$4K |
| 83001 |
|
272 |
272 |
$4K |
| 86706 |
|
602 |
539 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
58 |
56 |
$4K |
| 86376 |
|
380 |
378 |
$4K |
| 86709 |
|
601 |
538 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
51 |
51 |
$4K |
| 86803 |
|
538 |
484 |
$4K |
| 83002 |
|
255 |
255 |
$4K |
| 82607 |
|
390 |
386 |
$4K |
| 86704 |
|
477 |
476 |
$4K |
| 82533 |
|
259 |
258 |
$3K |
| 87081 |
|
717 |
711 |
$3K |
| 86762 |
|
240 |
240 |
$3K |
| 80053 |
Comprehensive metabolic panel |
382 |
377 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
386 |
384 |
$3K |
| 82746 |
|
265 |
262 |
$3K |
| 83655 |
|
240 |
240 |
$3K |
| 84439 |
|
393 |
391 |
$2K |
| 86765 |
|
242 |
242 |
$2K |
| 84480 |
|
406 |
404 |
$2K |
| 86695 |
|
496 |
488 |
$2K |
| 57150 |
|
50 |
47 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
26 |
25 |
$2K |
| 82728 |
|
190 |
187 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
259 |
258 |
$2K |
| 83525 |
|
202 |
202 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
51 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
587 |
577 |
$2K |
| 87210 |
|
575 |
564 |
$2K |
| 86593 |
|
564 |
505 |
$2K |
| 87623 |
|
68 |
68 |
$1K |
| 84702 |
|
149 |
147 |
$1K |
| 86735 |
|
242 |
242 |
$1K |
| 86141 |
|
172 |
172 |
$1K |
| 84144 |
|
76 |
76 |
$1K |
| 84432 |
|
405 |
403 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$1K |
| 87625 |
|
281 |
279 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,070 |
2,708 |
$943.33 |
| 80061 |
Lipid panel |
195 |
195 |
$845.57 |
| 82105 |
|
161 |
160 |
$797.34 |
| 83550 |
|
194 |
191 |
$708.18 |
| 86787 |
|
67 |
67 |
$388.01 |
| 85652 |
|
229 |
228 |
$365.81 |
| 99401 |
|
27 |
27 |
$267.59 |
| 86645 |
|
43 |
43 |
$258.49 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
22 |
22 |
$108.60 |
| 84481 |
|
12 |
12 |
$95.52 |
| 83540 |
|
16 |
14 |
$58.98 |
| 84436 |
|
259 |
259 |
$4.56 |
| 84479 |
|
160 |
160 |
$0.00 |
| A4550 |
Surgical trays |
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
19 |
19 |
$0.00 |