| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
2,242 |
2,138 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,209 |
2,084 |
$145K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
932 |
932 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
792 |
$76K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
869 |
725 |
$67K |
| 87480 |
|
3,504 |
3,359 |
$57K |
| 87660 |
|
3,500 |
3,355 |
$57K |
| 87510 |
|
3,436 |
3,291 |
$56K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
652 |
430 |
$53K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,129 |
1,116 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,154 |
1,148 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,154 |
1,148 |
$33K |
| 80050 |
General health panel |
772 |
743 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
328 |
322 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
182 |
127 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
115 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
316 |
$14K |
| 81025 |
|
2,912 |
2,793 |
$12K |
| 76801 |
|
92 |
78 |
$10K |
| 76818 |
|
72 |
36 |
$8K |
| 84480 |
|
363 |
363 |
$4K |
| 84439 |
|
420 |
418 |
$4K |
| 84144 |
|
172 |
155 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
360 |
355 |
$3K |
| 81002 |
|
1,414 |
1,368 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| 76820 |
|
72 |
40 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
615 |
572 |
$2K |
| 87088 |
|
270 |
257 |
$2K |
| 87806 |
|
71 |
71 |
$2K |
| 86592 |
|
437 |
437 |
$1K |
| 84702 |
|
91 |
74 |
$1K |
| 84703 |
|
209 |
200 |
$1K |
| 80061 |
Lipid panel |
77 |
75 |
$798.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
52 |
$642.20 |
| 86762 |
|
39 |
39 |
$519.88 |
| 81000 |
|
100 |
96 |
$342.12 |
| 82670 |
|
13 |
13 |
$327.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$308.13 |
| 36415 |
Collection of venous blood by venipuncture |
1,055 |
917 |
$298.63 |
| 90688 |
|
12 |
12 |
$244.67 |
| 83001 |
|
13 |
13 |
$217.60 |
| 83002 |
|
13 |
13 |
$216.82 |
| 82950 |
|
38 |
38 |
$180.34 |
| 82272 |
|
12 |
12 |
$28.16 |