| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,734 |
3,511 |
$154K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,718 |
3,497 |
$153K |
| 76818 |
|
1,081 |
887 |
$90K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,826 |
1,691 |
$72K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,095 |
1,025 |
$62K |
| 59025 |
Fetal non-stress test |
1,522 |
1,353 |
$42K |
| 36415 |
Collection of venous blood by venipuncture |
9,437 |
8,659 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
744 |
686 |
$26K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
439 |
428 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
175 |
164 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
300 |
279 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
582 |
560 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
156 |
155 |
$13K |
| 85018 |
|
4,021 |
3,905 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
186 |
$10K |
| 87653 |
|
230 |
218 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
975 |
916 |
$9K |
| 81025 |
|
1,082 |
1,018 |
$8K |
| 99000 |
|
5,115 |
4,459 |
$8K |
| 76801 |
|
65 |
64 |
$7K |
| 87510 |
|
249 |
241 |
$6K |
| 87480 |
|
250 |
241 |
$6K |
| 87660 |
|
249 |
241 |
$6K |
| 90674 |
|
286 |
259 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
53 |
51 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
81 |
$4K |
| 76830 |
Ultrasound, transvaginal |
51 |
49 |
$4K |
| 90715 |
|
94 |
91 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
624 |
564 |
$3K |
| 36416 |
|
2,477 |
2,388 |
$2K |
| 90686 |
|
68 |
65 |
$2K |
| 82950 |
|
250 |
242 |
$2K |
| 54150 |
|
12 |
12 |
$1K |
| 87481 |
|
51 |
14 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
18 |
13 |
$498.60 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
13 |
$347.64 |
| 87210 |
|
30 |
28 |
$115.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$83.14 |
| 99459 |
|
38 |
38 |
$0.00 |
| 0502F |
|
95 |
93 |
$0.00 |