| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,299 |
1,872 |
$118K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,260 |
744 |
$49K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,057 |
1,815 |
$34K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,342 |
1,238 |
$32K |
| 76830 |
Ultrasound, transvaginal |
599 |
492 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
282 |
238 |
$28K |
| 87481 |
|
953 |
307 |
$18K |
| 99205 |
Prolong outpt/office vis |
99 |
91 |
$11K |
| 81025 |
|
3,573 |
2,904 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,175 |
714 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
80 |
72 |
$5K |
| 87510 |
|
111 |
104 |
$2K |
| 81002 |
|
877 |
759 |
$2K |
| 87480 |
|
108 |
101 |
$2K |
| 84403 |
|
57 |
54 |
$2K |
| 87660 |
|
111 |
104 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
82 |
74 |
$2K |
| 84270 |
|
57 |
54 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
59 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$900.00 |
| 84481 |
|
55 |
49 |
$722.16 |
| 84439 |
|
82 |
74 |
$604.64 |
| 86800 |
|
39 |
37 |
$525.00 |
| 86376 |
|
39 |
37 |
$525.00 |
| 82670 |
|
13 |
13 |
$351.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,345 |
1,238 |
$303.01 |
| 83001 |
|
13 |
13 |
$286.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
29 |
$261.58 |
| 99422 |
|
21 |
12 |
$14.94 |