| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,351 |
1,275 |
$194K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,345 |
1,269 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,518 |
2,336 |
$108K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,232 |
1,178 |
$94K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,281 |
1,241 |
$82K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
784 |
765 |
$67K |
| 86780 |
|
1,215 |
1,162 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,677 |
1,536 |
$63K |
| 86850 |
|
867 |
805 |
$54K |
| 59426 |
|
81 |
80 |
$53K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
496 |
444 |
$47K |
| 86481 |
|
299 |
293 |
$43K |
| 86901 |
|
867 |
805 |
$40K |
| 86900 |
|
867 |
805 |
$40K |
| 86803 |
|
320 |
311 |
$37K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
660 |
645 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
141 |
141 |
$35K |
| 86762 |
|
313 |
304 |
$33K |
| 86787 |
|
296 |
288 |
$32K |
| 76830 |
Ultrasound, transvaginal |
109 |
106 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
101 |
100 |
$28K |
| 87340 |
|
302 |
294 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
248 |
$25K |
| 87150 |
|
257 |
250 |
$23K |
| 81001 |
|
276 |
267 |
$18K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
79 |
65 |
$17K |
| 76801 |
|
374 |
362 |
$17K |
| T1015 |
Clinic visit/encounter, all-inclusive |
118 |
96 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
329 |
235 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
866 |
784 |
$12K |
| 59430 |
|
110 |
107 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
214 |
$12K |
| 81025 |
|
2,393 |
2,286 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
192 |
$11K |
| 59025 |
Fetal non-stress test |
282 |
187 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
112 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
910 |
876 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
86 |
83 |
$7K |
| 82950 |
|
257 |
250 |
$6K |
| 83021 |
|
27 |
25 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
140 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
68 |
68 |
$3K |
| S0612 |
Annual gynecological examination, established patient |
38 |
38 |
$2K |
| 87088 |
|
17 |
17 |
$2K |
| 87210 |
|
465 |
450 |
$1K |
| 82105 |
|
26 |
26 |
$1K |
| 76857 |
|
20 |
18 |
$719.04 |
| 81002 |
|
136 |
130 |
$248.88 |
| 90674 |
|
41 |
41 |
$1.85 |