| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
562 |
503 |
$37K |
| 76830 |
Ultrasound, transvaginal |
267 |
265 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
253 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
280 |
277 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
186 |
162 |
$18K |
| 81513 |
|
154 |
153 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
167 |
167 |
$14K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
433 |
432 |
$12K |
| 99401 |
|
562 |
516 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
436 |
435 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
158 |
133 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
436 |
435 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
289 |
289 |
$8K |
| 87563 |
|
248 |
247 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
99 |
91 |
$6K |
| 81025 |
|
830 |
791 |
$4K |
| 87481 |
|
188 |
188 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$3K |
| 81002 |
|
1,174 |
1,001 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 76818 |
|
17 |
15 |
$1K |
| 81007 |
|
1,605 |
1,378 |
$1K |
| 76376 |
|
122 |
122 |
$688.20 |
| 87081 |
|
84 |
84 |
$364.52 |
| 87480 |
|
15 |
15 |
$225.60 |
| 36415 |
Collection of venous blood by venipuncture |
381 |
356 |
$34.08 |