| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
481 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
1,762 |
1,584 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
89 |
88 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
112 |
111 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
111 |
110 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
37 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
38 |
$3K |
| 87481 |
|
74 |
74 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
36 |
27 |
$2K |
| 86780 |
|
107 |
106 |
$1K |
| 59025 |
Fetal non-stress test |
66 |
53 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26 |
26 |
$889.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$485.53 |
| 90686 |
|
26 |
26 |
$472.81 |
| 87150 |
|
12 |
12 |
$393.04 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$228.84 |
| 85027 |
|
30 |
30 |
$191.12 |
| 81025 |
|
12 |
12 |
$107.41 |
| 99459 |
|
52 |
51 |
$105.58 |
| 82950 |
|
13 |
13 |
$60.96 |
| 85018 |
|
12 |
12 |
$28.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$0.00 |