| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,003 |
3,341 |
$192K |
| 59425 |
|
1,258 |
894 |
$115K |
| 59426 |
|
1,249 |
520 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,495 |
2,982 |
$96K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,429 |
2,039 |
$59K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,423 |
2,032 |
$57K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,417 |
2,018 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
774 |
684 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
664 |
581 |
$48K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,565 |
1,335 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
403 |
353 |
$31K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,503 |
1,287 |
$28K |
| 59410 |
|
38 |
32 |
$25K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
537 |
448 |
$20K |
| 99236 |
Prolong inpt eval add15 m |
142 |
94 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
322 |
283 |
$17K |
| 87481 |
|
656 |
512 |
$14K |
| 81025 |
|
1,988 |
1,709 |
$11K |
| 87088 |
|
1,085 |
929 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
63 |
$5K |
| 80055 |
|
127 |
105 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,481 |
1,983 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
53 |
$3K |
| 76830 |
Ultrasound, transvaginal |
37 |
37 |
$3K |
| 87150 |
|
94 |
91 |
$3K |
| 81000 |
|
1,022 |
893 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
258 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
443 |
376 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
462 |
365 |
$2K |
| 80081 |
|
33 |
31 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
108 |
90 |
$2K |
| 59025 |
Fetal non-stress test |
45 |
24 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 81001 |
|
444 |
371 |
$810.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$697.99 |
| 84702 |
|
44 |
32 |
$525.13 |
| 87081 |
|
82 |
79 |
$446.45 |
| 82950 |
|
97 |
86 |
$337.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
27 |
$320.14 |
| 83021 |
|
13 |
13 |
$180.50 |
| 80061 |
Lipid panel |
15 |
12 |
$74.05 |
| 85660 |
|
14 |
14 |
$60.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
47 |
42 |
$19.08 |
| 0501F |
|
38 |
27 |
$0.00 |