| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
172 |
170 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
158 |
156 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
159 |
158 |
$16K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
196 |
194 |
$15K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
126 |
126 |
$12K |
| 86481 |
|
60 |
59 |
$12K |
| 86780 |
|
157 |
155 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
267 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
216 |
$11K |
| 83020 |
|
65 |
64 |
$11K |
| 86803 |
|
66 |
65 |
$9K |
| 86850 |
|
74 |
73 |
$8K |
| 86787 |
|
66 |
65 |
$8K |
| 86762 |
|
65 |
64 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
65 |
$7K |
| 83021 |
|
65 |
64 |
$7K |
| 86901 |
|
74 |
73 |
$7K |
| 86900 |
|
74 |
73 |
$7K |
| 87340 |
|
65 |
64 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
49 |
40 |
$4K |
| 81001 |
|
60 |
59 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
27 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
95 |
$3K |
| 76801 |
|
61 |
59 |
$2K |
| 82105 |
|
39 |
39 |
$2K |
| 87088 |
|
13 |
13 |
$2K |
| 87150 |
|
14 |
14 |
$2K |
| 81025 |
|
283 |
275 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
24 |
$1K |
| 59430 |
|
13 |
13 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
32 |
29 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
50 |
$811.45 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$453.44 |
| 82950 |
|
14 |
14 |
$367.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$225.90 |
| 81002 |
|
47 |
34 |
$84.75 |
| 87210 |
|
12 |
12 |
$42.50 |