| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,043 |
8,054 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,343 |
10,303 |
$433K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
11,101 |
9,889 |
$352K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
11,078 |
9,872 |
$352K |
| 76830 |
Ultrasound, transvaginal |
4,827 |
4,405 |
$304K |
| 99215 |
Prolong outpt/office vis |
3,738 |
3,240 |
$275K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,328 |
1,959 |
$255K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,494 |
3,120 |
$206K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
6,725 |
5,995 |
$199K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,259 |
2,399 |
$165K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,482 |
2,183 |
$130K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,450 |
3,208 |
$105K |
| 81025 |
|
19,121 |
15,302 |
$95K |
| 80050 |
General health panel |
2,959 |
2,799 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,530 |
1,305 |
$85K |
| 81513 |
|
1,032 |
807 |
$65K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
760 |
703 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,644 |
2,422 |
$59K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
873 |
701 |
$51K |
| 82670 |
|
1,854 |
1,672 |
$43K |
| 84481 |
|
4,878 |
4,412 |
$41K |
| 84144 |
|
2,310 |
1,794 |
$39K |
| 84403 |
|
1,847 |
1,668 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,951 |
3,421 |
$37K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
536 |
500 |
$35K |
| 83001 |
|
1,959 |
1,736 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
600 |
563 |
$29K |
| 83002 |
|
1,926 |
1,704 |
$29K |
| 87905 |
|
2,822 |
2,449 |
$28K |
| 83525 |
|
2,681 |
2,431 |
$26K |
| 84702 |
|
2,203 |
1,604 |
$25K |
| 82627 |
|
1,343 |
1,194 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,908 |
2,271 |
$25K |
| 80053 |
Comprehensive metabolic panel |
2,903 |
2,431 |
$23K |
| 84439 |
|
3,568 |
3,138 |
$23K |
| 84270 |
|
1,271 |
1,123 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
35 |
$21K |
| 83735 |
|
3,512 |
3,184 |
$20K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
712 |
683 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
375 |
325 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,523 |
2,784 |
$19K |
| 87808 |
|
2,096 |
1,740 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
238 |
217 |
$15K |
| 80061 |
Lipid panel |
1,482 |
1,382 |
$14K |
| 87625 |
|
331 |
319 |
$11K |
| 76641 |
|
108 |
104 |
$9K |
| H0049 |
Alcohol and/or drug screening |
672 |
639 |
$8K |
| 80305 |
|
886 |
817 |
$8K |
| 82120 |
|
2,423 |
2,102 |
$7K |
| 59430 |
|
63 |
60 |
$6K |
| 87210 |
|
2,207 |
1,794 |
$4K |
| 76536 |
|
71 |
69 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
55 |
$4K |
| 81002 |
|
2,946 |
2,104 |
$4K |
| 99385 |
|
52 |
52 |
$4K |
| 83986 |
|
1,245 |
991 |
$3K |
| 76801 |
|
42 |
39 |
$3K |
| 90686 |
|
137 |
134 |
$2K |
| 84146 |
|
216 |
179 |
$2K |
| 82962 |
|
823 |
775 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
72 |
57 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
137 |
$2K |
| 80074 |
|
237 |
151 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
323 |
209 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
39 |
$2K |
| 82533 |
|
87 |
86 |
$1K |
| 83021 |
|
67 |
46 |
$686.27 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
85 |
77 |
$440.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
150 |
109 |
$393.07 |
| 86850 |
|
210 |
153 |
$355.86 |
| 87340 |
|
100 |
69 |
$316.11 |
| 86762 |
|
85 |
58 |
$299.46 |
| 86803 |
|
92 |
60 |
$265.41 |
| 99441 |
|
26 |
26 |
$249.69 |
| 86787 |
|
86 |
58 |
$214.14 |
| 86592 |
|
125 |
102 |
$214.08 |
| 86709 |
|
74 |
46 |
$189.16 |
| 82105 |
|
28 |
12 |
$133.60 |
| 81003 |
|
100 |
72 |
$98.82 |
| 36415 |
Collection of venous blood by venipuncture |
1,222 |
964 |
$94.60 |
| 84480 |
|
262 |
210 |
$93.78 |
| 81001 |
|
74 |
46 |
$69.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
388 |
$39.17 |
| 87081 |
|
46 |
28 |
$25.70 |
| 84436 |
|
124 |
78 |
$4.33 |
| 99000 |
|
479 |
366 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
863 |
298 |
$0.00 |