| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,807 |
2,883 |
$239K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
404 |
320 |
$22K |
| 76830 |
Ultrasound, transvaginal |
407 |
312 |
$17K |
| 84144 |
|
514 |
321 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
190 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
513 |
423 |
$7K |
| 84481 |
|
509 |
421 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
338 |
285 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
338 |
285 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
148 |
126 |
$6K |
| 84702 |
|
447 |
277 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
81 |
$5K |
| 81025 |
|
708 |
583 |
$3K |
| 98929 |
|
135 |
50 |
$3K |
| 84439 |
|
321 |
270 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
24 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
120 |
112 |
$2K |
| 94010 |
|
81 |
54 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
12 |
$681.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$658.20 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
16 |
15 |
$388.41 |
| 36415 |
Collection of venous blood by venipuncture |
1,653 |
1,213 |
$361.34 |
| 82670 |
|
17 |
13 |
$255.20 |
| 86703 |
|
14 |
13 |
$216.71 |
| 87660 |
|
14 |
12 |
$213.12 |
| 87510 |
|
14 |
12 |
$213.12 |
| 87480 |
|
14 |
12 |
$213.12 |
| 83001 |
|
17 |
13 |
$169.80 |
| 83002 |
|
17 |
13 |
$169.20 |
| 82947 |
|
15 |
14 |
$50.12 |
| 81002 |
|
18 |
14 |
$25.74 |