| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,308 |
5,996 |
$501K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,738 |
6,554 |
$302K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,048 |
6,880 |
$249K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,021 |
6,869 |
$248K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,641 |
1,481 |
$214K |
| 76830 |
Ultrasound, transvaginal |
3,590 |
2,879 |
$205K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,093 |
2,522 |
$176K |
| 99215 |
Prolong outpt/office vis |
1,978 |
1,545 |
$137K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,139 |
4,041 |
$136K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,372 |
1,160 |
$91K |
| 81513 |
|
995 |
863 |
$90K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,582 |
1,312 |
$82K |
| 80050 |
General health panel |
2,996 |
2,209 |
$69K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,763 |
2,179 |
$64K |
| 81025 |
|
13,184 |
9,582 |
$64K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,208 |
960 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,865 |
1,487 |
$42K |
| 84481 |
|
4,098 |
3,070 |
$28K |
| 84144 |
|
1,786 |
1,229 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,268 |
1,838 |
$25K |
| 82670 |
|
1,139 |
874 |
$22K |
| 87905 |
|
2,118 |
1,685 |
$21K |
| 84403 |
|
1,201 |
907 |
$20K |
| 87808 |
|
1,863 |
1,500 |
$19K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
441 |
265 |
$19K |
| 83525 |
|
2,022 |
1,522 |
$16K |
| 83735 |
|
3,384 |
2,497 |
$16K |
| 84439 |
|
2,669 |
1,896 |
$15K |
| 84702 |
|
1,463 |
929 |
$14K |
| 83001 |
|
1,222 |
904 |
$14K |
| 84270 |
|
941 |
736 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,889 |
1,910 |
$14K |
| 83002 |
|
1,131 |
855 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,918 |
1,348 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,719 |
1,040 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
173 |
140 |
$13K |
| 82627 |
|
575 |
433 |
$8K |
| 80061 |
Lipid panel |
1,034 |
707 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
553 |
317 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
158 |
99 |
$6K |
| 87210 |
|
1,723 |
1,418 |
$6K |
| 82120 |
|
1,757 |
1,453 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
73 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
60 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
76 |
56 |
$3K |
| H0049 |
Alcohol and/or drug screening |
305 |
219 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
16 |
$2K |
| 80305 |
|
163 |
137 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
166 |
136 |
$1K |
| 81002 |
|
824 |
606 |
$1K |
| 83986 |
|
365 |
323 |
$1K |
| 87625 |
|
29 |
24 |
$752.22 |
| 82962 |
|
362 |
229 |
$627.04 |
| 83021 |
|
31 |
27 |
$433.44 |
| 90686 |
|
29 |
23 |
$418.66 |
| 80074 |
|
120 |
74 |
$381.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
23 |
$352.80 |
| 86803 |
|
62 |
41 |
$315.65 |
| 86762 |
|
53 |
38 |
$266.39 |
| 86850 |
|
129 |
101 |
$213.61 |
| 86709 |
|
63 |
42 |
$210.63 |
| 86787 |
|
55 |
39 |
$207.46 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
81 |
62 |
$200.75 |
| 87340 |
|
61 |
41 |
$197.51 |
| 84146 |
|
107 |
86 |
$192.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
59 |
$159.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
157 |
106 |
$96.60 |
| 86592 |
|
121 |
82 |
$59.86 |
| 81003 |
|
45 |
36 |
$46.68 |
| 84480 |
|
416 |
165 |
$12.76 |
| 86900 |
|
21 |
13 |
$11.92 |
| 99000 |
|
13 |
13 |
$0.00 |