| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,291 |
$66K |
| 36415 |
Collection of venous blood by venipuncture |
5,955 |
5,200 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
641 |
616 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
639 |
614 |
$22K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
275 |
267 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
281 |
$18K |
| 86780 |
|
1,010 |
995 |
$13K |
| 81514 |
|
41 |
40 |
$11K |
| 87481 |
|
277 |
268 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
273 |
265 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
120 |
$8K |
| 76818 |
|
94 |
42 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
68 |
$5K |
| 76801 |
|
59 |
55 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
153 |
152 |
$4K |
| 87150 |
|
85 |
84 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
220 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
54 |
44 |
$3K |
| 86803 |
|
144 |
141 |
$2K |
| 59025 |
Fetal non-stress test |
129 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
227 |
220 |
$2K |
| 87340 |
|
166 |
163 |
$2K |
| 85018 |
|
651 |
622 |
$2K |
| 90715 |
|
49 |
49 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 85027 |
|
167 |
165 |
$1K |
| 87660 |
|
43 |
42 |
$967.34 |
| 87480 |
|
43 |
42 |
$967.34 |
| 87510 |
|
43 |
42 |
$967.34 |
| 86850 |
|
100 |
94 |
$962.55 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
54 |
52 |
$916.44 |
| 90686 |
|
97 |
85 |
$885.66 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
36 |
36 |
$875.62 |
| 86762 |
|
51 |
51 |
$760.50 |
| 82950 |
|
137 |
135 |
$666.35 |
| 86787 |
|
38 |
38 |
$516.80 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$487.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$267.58 |
| 99000 |
|
74 |
73 |
$175.00 |
| 86900 |
|
56 |
56 |
$173.80 |
| 86901 |
|
56 |
56 |
$173.80 |
| 81001 |
|
27 |
25 |
$90.77 |