| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,246 |
$67K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
536 |
329 |
$24K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
660 |
646 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
331 |
329 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
266 |
263 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
266 |
263 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$593.05 |
| 87481 |
|
16 |
15 |
$429.76 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
15 |
$429.76 |
| 90656 |
|
13 |
13 |
$235.32 |
| 7025F |
|
340 |
336 |
$0.00 |