| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,604 |
1,405 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
818 |
$86K |
| 76830 |
Ultrasound, transvaginal |
733 |
724 |
$75K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
777 |
766 |
$63K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
477 |
426 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
376 |
$32K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
502 |
428 |
$31K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,147 |
1,134 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,141 |
1,130 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,139 |
1,128 |
$29K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
493 |
489 |
$25K |
| 99401 |
|
1,234 |
1,173 |
$22K |
| 81513 |
|
210 |
208 |
$22K |
| 87563 |
|
722 |
715 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
276 |
$16K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
645 |
643 |
$16K |
| 81025 |
|
1,764 |
1,699 |
$11K |
| 76818 |
|
123 |
87 |
$11K |
| 81002 |
|
3,320 |
2,893 |
$8K |
| 76801 |
|
189 |
155 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$7K |
| 99385 |
|
71 |
71 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$5K |
| 99459 |
|
245 |
232 |
$5K |
| 87481 |
|
296 |
292 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$4K |
| 81007 |
|
3,348 |
2,916 |
$3K |
| 57454 |
|
12 |
12 |
$2K |
| 76376 |
|
214 |
212 |
$1K |
| 87625 |
|
26 |
26 |
$669.02 |
| 82670 |
|
25 |
25 |
$524.00 |
| 87081 |
|
93 |
92 |
$431.38 |
| 82627 |
|
25 |
24 |
$416.75 |
| 84270 |
|
24 |
24 |
$391.20 |
| 84144 |
|
24 |
24 |
$375.60 |
| 84146 |
|
25 |
25 |
$363.50 |
| 83001 |
|
25 |
25 |
$348.50 |
| 83002 |
|
25 |
25 |
$347.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$327.60 |
| 87653 |
|
12 |
12 |
$289.52 |
| 96160 |
|
88 |
66 |
$236.28 |
| 36415 |
Collection of venous blood by venipuncture |
1,057 |
1,004 |
$57.00 |
| 83986 |
|
14 |
14 |
$37.66 |