| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,677 |
1,484 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
547 |
513 |
$46K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,136 |
1,096 |
$37K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,136 |
1,095 |
$37K |
| 99215 |
Prolong outpt/office vis |
258 |
247 |
$33K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
362 |
351 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
5,152 |
4,675 |
$18K |
| 81514 |
|
72 |
69 |
$17K |
| 86780 |
|
1,216 |
1,192 |
$15K |
| 87481 |
|
351 |
340 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
339 |
328 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
147 |
112 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
406 |
395 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
266 |
263 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
873 |
833 |
$7K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
238 |
235 |
$6K |
| 86803 |
|
371 |
359 |
$5K |
| 81025 |
|
724 |
682 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
48 |
$4K |
| 59025 |
Fetal non-stress test |
234 |
127 |
$4K |
| 76830 |
Ultrasound, transvaginal |
40 |
40 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
491 |
476 |
$3K |
| 87340 |
|
306 |
301 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
300 |
295 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
210 |
209 |
$2K |
| 85027 |
|
257 |
254 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$2K |
| 87210 |
|
365 |
350 |
$2K |
| 87150 |
|
41 |
40 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
81 |
79 |
$1K |
| 85018 |
|
598 |
584 |
$1K |
| 90686 |
|
90 |
88 |
$1K |
| 90715 |
|
40 |
39 |
$1K |
| 81001 |
|
360 |
342 |
$1K |
| 86787 |
|
64 |
64 |
$818.96 |
| 82950 |
|
156 |
155 |
$711.84 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$623.96 |
| 86850 |
|
69 |
68 |
$623.81 |
| 82728 |
|
44 |
44 |
$595.71 |
| 86762 |
|
40 |
40 |
$580.81 |
| 86901 |
|
54 |
53 |
$162.33 |
| 86900 |
|
54 |
53 |
$162.33 |
| 87081 |
|
14 |
13 |
$98.56 |
| 82565 |
|
12 |
12 |
$67.62 |