| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
112 |
104 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,106 |
1,020 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
808 |
768 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
245 |
239 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
243 |
237 |
$25K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
319 |
309 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
330 |
314 |
$20K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
273 |
258 |
$18K |
| 86850 |
|
202 |
195 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
149 |
131 |
$18K |
| 76801 |
|
324 |
317 |
$16K |
| 86901 |
|
202 |
195 |
$15K |
| 86900 |
|
202 |
195 |
$15K |
| 86780 |
|
315 |
306 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
12 |
$5K |
| 81001 |
|
65 |
65 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
68 |
64 |
$5K |
| 86481 |
|
25 |
24 |
$4K |
| 86787 |
|
58 |
56 |
$4K |
| 86803 |
|
43 |
41 |
$4K |
| 86762 |
|
45 |
44 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
61 |
59 |
$3K |
| 83020 |
|
29 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
72 |
$2K |
| 87340 |
|
39 |
38 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
215 |
$2K |
| 81025 |
|
375 |
348 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
95 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
26 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 83021 |
|
29 |
28 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$824.89 |
| 82950 |
|
24 |
24 |
$535.92 |
| 99401 |
|
16 |
15 |
$389.05 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$381.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$356.84 |
| 81002 |
|
14 |
14 |
$30.48 |
| 90686 |
|
28 |
16 |
$1.20 |