| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,821 |
6,120 |
$1.20M |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,238 |
2,346 |
$247K |
| 87480 |
|
6,315 |
3,109 |
$165K |
| 87510 |
|
6,119 |
3,065 |
$159K |
| 86696 |
|
3,892 |
2,722 |
$144K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,920 |
1,778 |
$133K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,906 |
1,770 |
$132K |
| 90636 |
|
1,232 |
857 |
$121K |
| 86695 |
|
3,911 |
2,729 |
$111K |
| 0502F |
|
2,531 |
687 |
$110K |
| 87660 |
|
5,795 |
2,994 |
$97K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,130 |
3,262 |
$71K |
| 84403 |
|
2,682 |
2,213 |
$68K |
| 83001 |
|
3,555 |
2,297 |
$64K |
| 84144 |
|
3,954 |
2,761 |
$54K |
| 84146 |
|
3,969 |
2,774 |
$53K |
| 84402 |
|
2,674 |
2,215 |
$49K |
| 86038 |
|
2,931 |
2,404 |
$46K |
| 82670 |
|
3,705 |
2,365 |
$45K |
| 84270 |
|
2,669 |
2,205 |
$44K |
| 87340 |
|
2,648 |
1,899 |
$36K |
| 84702 |
|
4,118 |
2,610 |
$35K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,026 |
2,430 |
$33K |
| 59025 |
Fetal non-stress test |
927 |
229 |
$29K |
| 83002 |
|
2,996 |
2,151 |
$29K |
| 82607 |
|
2,321 |
1,781 |
$28K |
| 83550 |
|
3,308 |
2,469 |
$27K |
| 82746 |
|
2,360 |
1,798 |
$27K |
| 81001 |
|
7,382 |
3,530 |
$21K |
| 83540 |
|
3,367 |
2,500 |
$21K |
| 86431 |
|
2,775 |
2,256 |
$20K |
| 81025 |
|
5,395 |
2,910 |
$19K |
| 80050 |
General health panel |
2,849 |
2,180 |
$17K |
| 80061 |
Lipid panel |
2,289 |
1,823 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,289 |
1,759 |
$14K |
| 84481 |
|
1,370 |
1,083 |
$14K |
| 90686 |
|
646 |
462 |
$12K |
| 84550 |
|
2,574 |
2,094 |
$11K |
| 90715 |
|
349 |
232 |
$11K |
| 86592 |
|
2,180 |
1,851 |
$9K |
| 84439 |
|
752 |
617 |
$7K |
| 80055 |
|
200 |
159 |
$6K |
| 58100 |
|
40 |
26 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
24 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
61 |
52 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
533 |
361 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
77 |
67 |
$2K |
| 87088 |
|
187 |
149 |
$2K |
| 86304 |
|
51 |
35 |
$1K |
| 82105 |
|
60 |
49 |
$952.36 |
| 80053 |
Comprehensive metabolic panel |
73 |
63 |
$756.28 |
| 86301 |
|
12 |
12 |
$260.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$255.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
26 |
$241.08 |
| 82378 |
|
13 |
13 |
$174.46 |
| 83615 |
|
13 |
13 |
$76.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
848 |
601 |
$12.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
92 |
78 |
$0.00 |