| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,361 |
16,005 |
$943K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,403 |
4,015 |
$331K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,850 |
7,489 |
$261K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,854 |
7,496 |
$198K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,702 |
2,076 |
$171K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
198 |
195 |
$127K |
| 87660 |
|
4,360 |
4,202 |
$90K |
| 87480 |
|
4,353 |
4,188 |
$89K |
| 87510 |
|
4,352 |
4,191 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,005 |
936 |
$77K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,120 |
2,053 |
$60K |
| H1000 |
Prenatal care, at-risk assessment |
2,086 |
1,929 |
$59K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,185 |
2,115 |
$56K |
| 59025 |
Fetal non-stress test |
2,056 |
1,060 |
$55K |
| 81025 |
|
5,808 |
5,254 |
$39K |
| 81002 |
|
19,452 |
12,563 |
$33K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,075 |
1,916 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
373 |
352 |
$22K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,837 |
1,689 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,380 |
1,308 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
316 |
$16K |
| 76830 |
Ultrasound, transvaginal |
238 |
209 |
$15K |
| 99385 |
|
208 |
198 |
$14K |
| 99219 |
|
227 |
192 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
139 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
117 |
113 |
$3K |
| 59430 |
|
39 |
38 |
$2K |
| 76801 |
|
29 |
25 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
88 |
87 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
43 |
42 |
$814.66 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
638 |
603 |
$387.96 |