| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,948 |
1,934 |
$189K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,006 |
1,990 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,421 |
2,270 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
741 |
$63K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,118 |
2,115 |
$50K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,973 |
1,965 |
$48K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,117 |
2,114 |
$47K |
| 81513 |
|
419 |
416 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
491 |
491 |
$39K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
945 |
943 |
$27K |
| 99401 |
|
977 |
950 |
$20K |
| 81025 |
|
3,679 |
3,567 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
206 |
$17K |
| 99385 |
|
176 |
176 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
182 |
169 |
$15K |
| 87481 |
|
710 |
707 |
$14K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
273 |
272 |
$12K |
| 87563 |
|
446 |
444 |
$12K |
| 87480 |
|
714 |
711 |
$11K |
| 87510 |
|
713 |
710 |
$11K |
| 81002 |
|
4,773 |
4,501 |
$8K |
| 81007 |
|
4,826 |
4,557 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
70 |
68 |
$6K |
| 76376 |
|
533 |
525 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
57 |
53 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
64 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 87081 |
|
438 |
434 |
$2K |
| 76801 |
|
16 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
780 |
745 |
$177.20 |
| 99000 |
|
25 |
25 |
$0.00 |