| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,237 |
19,822 |
$1.25M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,606 |
7,132 |
$208K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,604 |
7,131 |
$188K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,942 |
5,630 |
$167K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,801 |
1,736 |
$166K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,294 |
1,108 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,901 |
1,806 |
$121K |
| 59025 |
Fetal non-stress test |
4,138 |
2,008 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,150 |
1,111 |
$71K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,040 |
907 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,717 |
9,212 |
$64K |
| 87480 |
|
3,599 |
3,389 |
$57K |
| 87510 |
|
3,604 |
3,392 |
$53K |
| 36415 |
Collection of venous blood by venipuncture |
19,278 |
15,495 |
$42K |
| 87806 |
|
1,509 |
1,437 |
$36K |
| 87660 |
|
1,766 |
1,655 |
$27K |
| 76830 |
Ultrasound, transvaginal |
265 |
257 |
$17K |
| 86592 |
|
5,066 |
4,815 |
$17K |
| 99215 |
Prolong outpt/office vis |
165 |
162 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,410 |
1,335 |
$10K |
| 85027 |
|
1,425 |
1,286 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
40 |
$3K |
| 81025 |
|
449 |
406 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
234 |
214 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
67 |
$2K |
| 82950 |
|
537 |
516 |
$2K |
| 87653 |
|
70 |
67 |
$2K |
| 99234 |
|
18 |
15 |
$1K |
| 86762 |
|
65 |
65 |
$917.67 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
52 |
51 |
$840.02 |
| 81001 |
|
302 |
284 |
$696.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$499.98 |
| 86850 |
|
68 |
64 |
$268.93 |
| 86901 |
|
69 |
65 |
$213.02 |
| 86900 |
|
24 |
24 |
$80.42 |
| 99000 |
|
466 |
447 |
$0.00 |