| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
569 |
540 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
586 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
120 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
616 |
565 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
616 |
565 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
134 |
$13K |
| 87480 |
|
637 |
582 |
$10K |
| 87510 |
|
637 |
581 |
$10K |
| 87660 |
|
637 |
582 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
80 |
77 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
61 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
54 |
$6K |
| 76813 |
|
37 |
37 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
40 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$3K |
| 76818 |
|
23 |
12 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
54 |
51 |
$2K |
| 84702 |
|
127 |
109 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
600 |
534 |
$869.70 |
| 81025 |
|
123 |
122 |
$651.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
91 |
87 |
$642.93 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
26 |
$396.47 |
| 82951 |
|
29 |
27 |
$259.20 |
| 84146 |
|
12 |
12 |
$214.92 |
| 81002 |
|
97 |
97 |
$199.82 |
| 1036F |
|
17 |
15 |
$0.00 |
| 0500F |
|
16 |
16 |
$0.00 |
| 0503F |
|
17 |
17 |
$0.00 |
| 99051 |
|
98 |
97 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
15 |
$0.00 |