| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,045 |
9,631 |
$858K |
| 76830 |
Ultrasound, transvaginal |
6,922 |
6,377 |
$687K |
| 58558 |
|
339 |
339 |
$417K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,501 |
2,492 |
$342K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,835 |
2,827 |
$83K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,829 |
2,821 |
$83K |
| 82670 |
|
3,323 |
3,311 |
$73K |
| 84144 |
|
3,243 |
3,231 |
$53K |
| 84146 |
|
3,311 |
3,299 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,041 |
1,008 |
$49K |
| 83001 |
|
3,328 |
3,316 |
$49K |
| 83002 |
|
3,331 |
3,319 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
414 |
414 |
$41K |
| 87529 |
|
1,171 |
758 |
$38K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
451 |
447 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,756 |
2,744 |
$35K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
799 |
799 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
288 |
$28K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
791 |
791 |
$24K |
| 88121 |
|
465 |
465 |
$21K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
699 |
696 |
$18K |
| 57454 |
|
109 |
109 |
$16K |
| 87480 |
|
849 |
842 |
$15K |
| 87510 |
|
812 |
805 |
$14K |
| 88341 |
|
208 |
208 |
$13K |
| 88342 |
|
194 |
194 |
$12K |
| 93976 |
|
93 |
91 |
$12K |
| 88112 |
|
464 |
464 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
21 |
12 |
$9K |
| 87660 |
|
487 |
482 |
$8K |
| 84703 |
|
646 |
640 |
$4K |
| 81025 |
|
706 |
699 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 87210 |
|
689 |
688 |
$3K |
| 81000 |
|
963 |
937 |
$2K |
| 87220 |
|
674 |
673 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
647 |
627 |
$568.57 |
| 99080 |
|
1,449 |
635 |
$0.00 |