| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,045 |
924 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
905 |
766 |
$67K |
| 76830 |
Ultrasound, transvaginal |
492 |
481 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
540 |
529 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
351 |
296 |
$34K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
521 |
515 |
$27K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
924 |
914 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
912 |
903 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
910 |
901 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
221 |
221 |
$19K |
| 99401 |
|
1,010 |
926 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
240 |
195 |
$16K |
| 87563 |
|
608 |
600 |
$16K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
386 |
386 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
162 |
142 |
$9K |
| 81025 |
|
1,302 |
1,224 |
$8K |
| 99459 |
|
413 |
397 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
58 |
$8K |
| 81513 |
|
63 |
63 |
$7K |
| 81002 |
|
2,476 |
2,119 |
$6K |
| 76818 |
|
90 |
59 |
$6K |
| 76801 |
|
76 |
55 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$3K |
| 81007 |
|
2,504 |
2,145 |
$2K |
| 99385 |
|
14 |
14 |
$1K |
| 76376 |
|
200 |
194 |
$1K |
| 87481 |
|
144 |
143 |
$973.84 |
| 87081 |
|
104 |
101 |
$512.90 |
| 84144 |
|
29 |
28 |
$438.20 |
| 96160 |
|
136 |
117 |
$363.80 |
| 82670 |
|
12 |
12 |
$251.52 |
| 82627 |
|
12 |
12 |
$200.04 |
| 84270 |
|
12 |
12 |
$195.60 |
| 83001 |
|
13 |
12 |
$181.22 |
| 84146 |
|
12 |
12 |
$174.48 |
| 83002 |
|
12 |
12 |
$166.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$163.80 |
| 84702 |
|
12 |
12 |
$135.48 |
| 83986 |
|
39 |
39 |
$99.53 |
| 36415 |
Collection of venous blood by venipuncture |
786 |
724 |
$21.00 |