| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,166 |
779 |
$26K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,524 |
1,247 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,491 |
1,220 |
$19K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
530 |
474 |
$9K |
| H1000 |
Prenatal care, at-risk assessment |
1,626 |
738 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
61 |
$5K |
| 99385 |
|
46 |
46 |
$5K |
| 59430 |
|
15 |
15 |
$4K |
| 76830 |
Ultrasound, transvaginal |
84 |
42 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
42 |
39 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$914.66 |
| 81513 |
|
50 |
35 |
$490.17 |
| 87481 |
|
190 |
79 |
$318.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$283.42 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
359 |
240 |
$152.87 |
| 81025 |
|
37 |
37 |
$113.90 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
213 |
145 |
$93.60 |
| 81002 |
|
120 |
43 |
$57.49 |
| 87511 |
|
30 |
14 |
$0.00 |
| 81507 |
|
47 |
27 |
$0.00 |
| 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 |
19 |
16 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
26 |
14 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
17 |
15 |
$0.00 |