| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,072 |
1,040 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,614 |
3,254 |
$155K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,068 |
1,035 |
$110K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
921 |
887 |
$78K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,153 |
1,087 |
$78K |
| 59426 |
|
95 |
95 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,244 |
1,206 |
$58K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
599 |
556 |
$54K |
| 86780 |
|
890 |
857 |
$53K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
445 |
372 |
$48K |
| 86481 |
|
294 |
285 |
$43K |
| 86762 |
|
320 |
311 |
$33K |
| 86803 |
|
284 |
275 |
$32K |
| 86787 |
|
300 |
292 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
123 |
123 |
$29K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
542 |
528 |
$28K |
| 86850 |
|
370 |
356 |
$27K |
| 87340 |
|
307 |
298 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
285 |
278 |
$25K |
| 86900 |
|
371 |
357 |
$21K |
| 86901 |
|
371 |
357 |
$21K |
| 87150 |
|
130 |
127 |
$17K |
| 83020 |
|
95 |
94 |
$15K |
| 81001 |
|
266 |
257 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
220 |
217 |
$13K |
| 83021 |
|
95 |
94 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
614 |
582 |
$9K |
| 59430 |
|
66 |
66 |
$7K |
| 82950 |
|
196 |
192 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
58 |
51 |
$7K |
| S0612 |
Annual gynecological examination, established patient |
109 |
109 |
$6K |
| 82105 |
|
99 |
99 |
$5K |
| 81025 |
|
989 |
950 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
564 |
522 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
133 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$4K |
| 84702 |
|
57 |
57 |
$4K |
| 82677 |
|
44 |
44 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 87088 |
|
26 |
26 |
$2K |
| 86336 |
|
44 |
44 |
$1K |
| 81002 |
|
476 |
452 |
$943.29 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$815.49 |