| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,263 |
6,704 |
$354K |
| 99215 |
Prolong outpt/office vis |
1,513 |
1,217 |
$96K |
| 76830 |
Ultrasound, transvaginal |
572 |
554 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
529 |
509 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
327 |
320 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
265 |
253 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
276 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
495 |
486 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
494 |
484 |
$12K |
| 90715 |
|
511 |
507 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
234 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
770 |
748 |
$5K |
| 86762 |
|
225 |
215 |
$4K |
| 86803 |
|
218 |
207 |
$4K |
| 86703 |
|
209 |
201 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
58 |
58 |
$3K |
| 87340 |
|
204 |
196 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
38 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
24 |
$2K |
| 86780 |
|
109 |
107 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,883 |
1,763 |
$2K |
| 87480 |
|
29 |
29 |
$886.37 |
| 87660 |
|
29 |
29 |
$855.88 |
| 87653 |
|
13 |
13 |
$727.68 |
| 87510 |
|
29 |
29 |
$593.07 |
| 90686 |
|
51 |
49 |
$511.15 |
| 86592 |
|
122 |
118 |
$471.80 |
| 81002 |
|
118 |
112 |
$362.20 |
| 59025 |
Fetal non-stress test |
14 |
13 |
$304.14 |
| 96160 |
|
52 |
52 |
$238.90 |