| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,041 |
949 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
542 |
$55K |
| 76830 |
Ultrasound, transvaginal |
364 |
363 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
364 |
363 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
282 |
230 |
$27K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
642 |
641 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
190 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
645 |
644 |
$16K |
| 99401 |
|
880 |
852 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
641 |
640 |
$15K |
| 81513 |
|
83 |
83 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
163 |
142 |
$11K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
193 |
193 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
156 |
144 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
281 |
280 |
$8K |
| 87563 |
|
279 |
279 |
$8K |
| 76818 |
|
83 |
51 |
$8K |
| 81025 |
|
1,216 |
1,188 |
$7K |
| 99459 |
|
286 |
282 |
$6K |
| 81002 |
|
2,454 |
2,203 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$5K |
| 76801 |
|
74 |
62 |
$3K |
| 81007 |
|
2,434 |
2,184 |
$3K |
| 99385 |
|
15 |
15 |
$1K |
| 87481 |
|
115 |
115 |
$1K |
| 87653 |
|
35 |
35 |
$921.20 |
| 76376 |
|
114 |
114 |
$726.04 |
| 82670 |
|
12 |
12 |
$251.52 |
| 82627 |
|
12 |
12 |
$200.04 |
| 84270 |
|
12 |
12 |
$195.60 |
| 84144 |
|
12 |
12 |
$187.80 |
| 84146 |
|
12 |
12 |
$174.48 |
| 83001 |
|
12 |
12 |
$167.28 |
| 83002 |
|
12 |
12 |
$166.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$151.20 |
| 96160 |
|
53 |
48 |
$142.57 |
| 84439 |
|
12 |
12 |
$81.24 |
| 87081 |
|
14 |
14 |
$57.65 |
| 36415 |
Collection of venous blood by venipuncture |
816 |
770 |
$33.00 |