| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
507 |
470 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
632 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
477 |
444 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
320 |
$24K |
| 93976 |
|
238 |
231 |
$18K |
| 99385 |
|
145 |
145 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
121 |
101 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
237 |
237 |
$6K |
| 57150 |
|
155 |
151 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
214 |
214 |
$4K |
| 87481 |
|
235 |
234 |
$4K |
| 81025 |
|
1,045 |
887 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
48 |
$4K |
| 87625 |
|
94 |
94 |
$3K |
| 81002 |
|
1,875 |
1,438 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
213 |
213 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
93 |
93 |
$3K |
| 87653 |
|
128 |
128 |
$2K |
| 99386 |
|
16 |
16 |
$2K |
| 84144 |
|
172 |
170 |
$1K |
| 82670 |
|
117 |
117 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
103 |
103 |
$1K |
| 84403 |
|
113 |
113 |
$1K |
| 80050 |
General health panel |
139 |
139 |
$1K |
| 86696 |
|
137 |
137 |
$1K |
| 82627 |
|
113 |
113 |
$994.72 |
| 84146 |
|
127 |
126 |
$972.58 |
| 84702 |
|
147 |
144 |
$891.70 |
| 83001 |
|
114 |
114 |
$838.65 |
| 83002 |
|
114 |
114 |
$835.20 |
| 84481 |
|
120 |
120 |
$790.79 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$785.32 |
| 88142 |
|
95 |
95 |
$724.96 |
| 86803 |
|
128 |
128 |
$688.20 |
| 86695 |
|
127 |
127 |
$636.12 |
| 86708 |
|
130 |
130 |
$612.14 |
| 82607 |
|
103 |
103 |
$609.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
112 |
112 |
$588.60 |
| 82728 |
|
102 |
102 |
$545.84 |
| 82746 |
|
103 |
103 |
$531.90 |
| 84439 |
|
131 |
131 |
$465.04 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
229 |
229 |
$446.11 |
| 83550 |
|
102 |
102 |
$350.20 |
| 87081 |
|
128 |
128 |
$325.08 |
| 83615 |
|
137 |
137 |
$323.08 |
| 87340 |
|
110 |
110 |
$261.24 |
| 83540 |
|
102 |
102 |
$259.56 |
| 84550 |
|
137 |
137 |
$241.91 |
| 86593 |
|
130 |
130 |
$217.17 |
| 86703 |
|
63 |
63 |
$69.29 |
| 36415 |
Collection of venous blood by venipuncture |
104 |
96 |
$24.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
96 |
96 |
$0.00 |