| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,482 |
3,023 |
$240K |
| 76830 |
Ultrasound, transvaginal |
1,249 |
1,228 |
$128K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,345 |
1,312 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,028 |
987 |
$103K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
865 |
746 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
833 |
833 |
$70K |
| 81513 |
|
486 |
482 |
$55K |
| 99401 |
|
2,595 |
2,344 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
714 |
577 |
$50K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,649 |
1,636 |
$44K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,640 |
1,629 |
$42K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,637 |
1,626 |
$41K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
745 |
663 |
$40K |
| 87563 |
|
1,022 |
1,014 |
$27K |
| 76801 |
|
472 |
392 |
$26K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
977 |
973 |
$26K |
| 81025 |
|
3,687 |
3,500 |
$21K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
403 |
398 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
237 |
237 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
150 |
$20K |
| 76818 |
|
204 |
132 |
$18K |
| 81002 |
|
5,747 |
4,754 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
134 |
$13K |
| 87481 |
|
690 |
685 |
$12K |
| 81007 |
|
6,905 |
5,786 |
$8K |
| 99385 |
|
43 |
43 |
$4K |
| 76376 |
|
567 |
554 |
$3K |
| 87081 |
|
403 |
398 |
$2K |
| 99459 |
|
96 |
94 |
$2K |
| 87653 |
|
52 |
52 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 82670 |
|
56 |
56 |
$1K |
| 84270 |
|
66 |
66 |
$1K |
| 83001 |
|
68 |
68 |
$947.92 |
| 83002 |
|
68 |
68 |
$944.52 |
| 82627 |
|
54 |
54 |
$900.18 |
| 84443 |
Thyroid stimulating hormone (TSH) |
69 |
69 |
$869.40 |
| 84144 |
|
55 |
55 |
$860.75 |
| 84146 |
|
54 |
54 |
$785.16 |
| 36415 |
Collection of venous blood by venipuncture |
2,283 |
2,096 |
$479.32 |
| 84439 |
|
67 |
67 |
$453.59 |
| 96160 |
|
156 |
130 |
$401.03 |
| 87625 |
|
13 |
13 |
$364.92 |
| 84403 |
|
12 |
12 |
$232.32 |