| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,078 |
1,854 |
$89K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
313 |
304 |
$52K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
310 |
301 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
743 |
719 |
$34K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
486 |
478 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
313 |
265 |
$29K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
246 |
245 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
297 |
293 |
$25K |
| 86850 |
|
164 |
161 |
$17K |
| 86780 |
|
288 |
285 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
279 |
277 |
$15K |
| 86900 |
|
164 |
161 |
$14K |
| 86901 |
|
164 |
161 |
$14K |
| 76801 |
|
289 |
282 |
$14K |
| 59426 |
|
12 |
12 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
367 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
92 |
85 |
$4K |
| 81025 |
|
738 |
722 |
$4K |
| 87150 |
|
36 |
36 |
$3K |
| 86803 |
|
13 |
13 |
$2K |
| 86787 |
|
13 |
13 |
$2K |
| 86762 |
|
13 |
13 |
$2K |
| 86481 |
|
13 |
13 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$2K |
| 87340 |
|
12 |
12 |
$2K |
| 59430 |
|
14 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$1K |
| 81001 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
129 |
$1K |
| 82105 |
|
16 |
16 |
$891.33 |
| 99401 |
|
31 |
30 |
$866.33 |
| 82950 |
|
14 |
14 |
$813.08 |
| S0612 |
Annual gynecological examination, established patient |
13 |
13 |
$699.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$675.46 |
| 87210 |
|
143 |
142 |
$479.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$324.71 |
| 81002 |
|
115 |
100 |
$212.51 |