| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,553 |
4,315 |
$306K |
| 99215 |
Prolong outpt/office vis |
1,890 |
1,590 |
$146K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,127 |
4,302 |
$145K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,122 |
4,302 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,490 |
2,853 |
$123K |
| 76830 |
Ultrasound, transvaginal |
1,835 |
1,576 |
$112K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,945 |
2,520 |
$81K |
| 81513 |
|
776 |
687 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
943 |
832 |
$52K |
| 81025 |
|
9,244 |
6,584 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
581 |
289 |
$37K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
829 |
600 |
$36K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,073 |
779 |
$36K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,200 |
1,066 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
267 |
233 |
$22K |
| 84144 |
|
1,180 |
984 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
317 |
274 |
$19K |
| 82670 |
|
922 |
781 |
$19K |
| 84403 |
|
889 |
773 |
$18K |
| 84270 |
|
867 |
755 |
$15K |
| 83001 |
|
925 |
804 |
$14K |
| 83002 |
|
887 |
769 |
$13K |
| 84481 |
|
1,591 |
1,363 |
$13K |
| 82627 |
|
695 |
602 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
187 |
166 |
$12K |
| 87905 |
|
1,509 |
999 |
$11K |
| 76536 |
|
180 |
167 |
$10K |
| 84702 |
|
899 |
557 |
$9K |
| 83525 |
|
984 |
861 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
132 |
$7K |
| 84146 |
|
438 |
405 |
$7K |
| 84439 |
|
1,240 |
949 |
$7K |
| 82533 |
|
387 |
364 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
763 |
506 |
$6K |
| 80050 |
General health panel |
314 |
179 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
93 |
79 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,776 |
943 |
$4K |
| 82120 |
|
1,496 |
997 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
816 |
405 |
$3K |
| 83986 |
|
1,490 |
999 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
631 |
444 |
$3K |
| 87808 |
|
889 |
688 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
28 |
$3K |
| 81002 |
|
1,456 |
1,145 |
$2K |
| 87625 |
|
58 |
56 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$1K |
| 80305 |
|
123 |
119 |
$1K |
| 87210 |
|
1,570 |
1,031 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 99385 |
|
13 |
12 |
$766.70 |
| 83735 |
|
135 |
101 |
$638.97 |
| 80053 |
Comprehensive metabolic panel |
140 |
106 |
$299.56 |
| 36415 |
Collection of venous blood by venipuncture |
837 |
635 |
$288.96 |
| 80074 |
|
48 |
31 |
$238.15 |
| 81003 |
|
205 |
170 |
$208.42 |
| 81001 |
|
87 |
83 |
$192.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
43 |
$164.22 |
| 86592 |
|
91 |
65 |
$136.16 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
14 |
$127.68 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$64.24 |
| 82962 |
|
16 |
14 |
$35.10 |
| 84480 |
|
188 |
123 |
$31.90 |
| 99000 |
|
1,234 |
941 |
$0.00 |