| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
14,562 |
8,217 |
$1.38M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
11,659 |
8,563 |
$1.06M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,770 |
2,687 |
$478K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,224 |
3,112 |
$289K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,684 |
9,283 |
$227K |
| 76825 |
|
519 |
495 |
$207K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,219 |
3,635 |
$170K |
| 76801 |
|
988 |
944 |
$88K |
| 76830 |
Ultrasound, transvaginal |
719 |
704 |
$58K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,204 |
3,948 |
$33K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
472 |
451 |
$25K |
| 76813 |
|
229 |
228 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
191 |
190 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
649 |
622 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
649 |
622 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
254 |
190 |
$5K |
| 87481 |
|
960 |
472 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$4K |
| 87511 |
|
507 |
472 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
539 |
497 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
286 |
279 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
90 |
84 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
53 |
51 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
15 |
$1K |
| 88142 |
|
321 |
309 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
66 |
$862.34 |
| 90686 |
|
49 |
49 |
$753.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
39 |
$683.11 |
| 76820 |
|
2,767 |
1,176 |
$567.37 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
302 |
290 |
$250.65 |
| Q3014 |
Telehealth originating site facility fee |
15 |
15 |
$237.90 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
25 |
24 |
$182.14 |
| 81025 |
|
121 |
120 |
$154.28 |
| 76821 |
|
416 |
242 |
$97.15 |
| 87070 |
|
96 |
96 |
$61.42 |
| 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 |
87 |
80 |
$5.35 |
| 93325 |
|
182 |
168 |
$0.00 |
| 90715 |
|
41 |
40 |
$0.00 |