| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14,960 |
13,416 |
$511K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14,950 |
13,411 |
$510K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,515 |
15,199 |
$505K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12,478 |
11,618 |
$395K |
| 87481 |
|
12,526 |
11,655 |
$394K |
| 87511 |
|
12,524 |
11,654 |
$394K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,042 |
6,334 |
$248K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,586 |
3,413 |
$218K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
7,745 |
6,942 |
$150K |
| 86803 |
|
7,815 |
7,098 |
$105K |
| 86780 |
|
7,833 |
7,099 |
$90K |
| 87340 |
|
7,882 |
7,090 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
728 |
693 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
916 |
$54K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
81 |
$50K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
775 |
646 |
$43K |
| 80305 |
|
4,354 |
3,969 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
457 |
433 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,956 |
5,429 |
$41K |
| 87660 |
|
2,616 |
1,815 |
$38K |
| 76830 |
Ultrasound, transvaginal |
604 |
589 |
$38K |
| 87510 |
|
2,590 |
1,799 |
$36K |
| 87480 |
|
2,589 |
1,798 |
$36K |
| 81025 |
|
6,338 |
5,765 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,900 |
2,550 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
476 |
441 |
$28K |
| 81000 |
|
9,386 |
8,691 |
$20K |
| 86762 |
|
1,357 |
1,246 |
$17K |
| 87653 |
|
450 |
402 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,241 |
1,015 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
846 |
724 |
$11K |
| 90674 |
|
379 |
365 |
$9K |
| 90715 |
|
231 |
220 |
$7K |
| 99385 |
|
86 |
79 |
$6K |
| 59430 |
|
44 |
41 |
$4K |
| 83001 |
|
176 |
152 |
$3K |
| 84702 |
|
200 |
161 |
$3K |
| 82950 |
|
580 |
542 |
$2K |
| 87081 |
|
422 |
374 |
$2K |
| 84146 |
|
142 |
119 |
$2K |
| 81003 |
|
802 |
649 |
$924.42 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$876.36 |
| 99219 |
|
15 |
12 |
$649.80 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$394.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$373.08 |
| 86703 |
|
12 |
12 |
$126.24 |
| 86592 |
|
25 |
24 |
$97.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,218 |
3,702 |
$0.00 |
| 3008F |
|
626 |
406 |
$0.00 |
| 99000 |
|
1,496 |
1,280 |
$0.00 |