| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,288 |
2,962 |
$142K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
799 |
742 |
$116K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
799 |
742 |
$84K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,264 |
1,234 |
$82K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
757 |
644 |
$73K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
736 |
722 |
$67K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
860 |
821 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,561 |
1,449 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,203 |
1,171 |
$66K |
| 86780 |
|
854 |
814 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,410 |
1,263 |
$42K |
| 86850 |
|
464 |
443 |
$36K |
| 86901 |
|
463 |
442 |
$28K |
| 86900 |
|
463 |
442 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,531 |
1,363 |
$21K |
| 76801 |
|
418 |
408 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
369 |
276 |
$18K |
| 86481 |
|
127 |
123 |
$18K |
| 86803 |
|
133 |
128 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
361 |
347 |
$16K |
| 86762 |
|
133 |
128 |
$15K |
| 86787 |
|
122 |
117 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
131 |
$13K |
| T1015 |
Clinic visit/encounter, all-inclusive |
102 |
76 |
$13K |
| 87340 |
|
134 |
129 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
39 |
$11K |
| 59025 |
Fetal non-stress test |
317 |
213 |
$11K |
| 81001 |
|
148 |
136 |
$10K |
| 81025 |
|
2,140 |
2,028 |
$10K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$8K |
| 59426 |
|
12 |
12 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
95 |
92 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
284 |
$6K |
| S0612 |
Annual gynecological examination, established patient |
98 |
94 |
$6K |
| 82950 |
|
85 |
78 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
362 |
337 |
$3K |
| 82105 |
|
54 |
54 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
50 |
$3K |
| 87210 |
|
810 |
773 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$3K |
| 87150 |
|
24 |
24 |
$2K |
| 83020 |
|
12 |
12 |
$2K |
| 86480 |
|
12 |
12 |
$2K |
| 99401 |
|
55 |
54 |
$2K |
| 59430 |
|
13 |
13 |
$1K |
| 81002 |
|
625 |
571 |
$1K |
| 84702 |
|
17 |
16 |
$1K |
| 82677 |
|
13 |
13 |
$1K |
| 83021 |
|
12 |
12 |
$959.22 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$684.80 |
| 86336 |
|
13 |
13 |
$371.21 |