| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,085 |
1,038 |
$94K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,081 |
1,032 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
541 |
461 |
$54K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
545 |
532 |
$30K |
| 86780 |
|
507 |
493 |
$19K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
251 |
230 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
564 |
508 |
$13K |
| 86803 |
|
190 |
187 |
$10K |
| 86481 |
|
101 |
98 |
$9K |
| 85027 |
|
557 |
521 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
233 |
225 |
$9K |
| 87340 |
|
145 |
143 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
115 |
115 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
90 |
71 |
$7K |
| 86850 |
|
160 |
154 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
163 |
160 |
$6K |
| 86704 |
|
96 |
96 |
$6K |
| 86706 |
|
96 |
96 |
$6K |
| 86900 |
|
116 |
112 |
$5K |
| 86762 |
|
77 |
74 |
$5K |
| 83020 |
|
75 |
69 |
$5K |
| 86901 |
|
116 |
112 |
$4K |
| 86787 |
|
75 |
73 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
108 |
$4K |
| 82728 |
|
100 |
93 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
70 |
70 |
$4K |
| 87481 |
|
13 |
13 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
170 |
135 |
$2K |
| 84460 |
|
45 |
40 |
$2K |
| 84450 |
|
45 |
40 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
13 |
$2K |
| 87088 |
|
79 |
77 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 82950 |
|
88 |
82 |
$1K |
| 87653 |
|
13 |
13 |
$878.94 |
| 82565 |
|
33 |
28 |
$782.60 |
| 84550 |
|
33 |
28 |
$740.60 |
| 85060 |
|
27 |
25 |
$700.65 |
| 84520 |
|
33 |
28 |
$698.88 |
| 84156 |
|
33 |
28 |
$629.31 |
| 82570 |
|
18 |
14 |
$606.46 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
15 |
$302.55 |