| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
204,017 |
139,801 |
$10.20M |
| 59430 |
|
5,210 |
3,996 |
$625K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,067 |
3,932 |
$489K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,915 |
6,035 |
$440K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
1,262 |
1,098 |
$438K |
| 59410 |
|
404 |
373 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,888 |
4,017 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,165 |
4,808 |
$211K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,934 |
1,619 |
$157K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,211 |
2,115 |
$153K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,194 |
981 |
$133K |
| 59025 |
Fetal non-stress test |
4,224 |
2,436 |
$123K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,357 |
5,618 |
$108K |
| 86762 |
|
5,618 |
4,464 |
$92K |
| 59515 |
|
67 |
56 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
720 |
551 |
$59K |
| 86702 |
|
8,579 |
6,736 |
$56K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,208 |
1,835 |
$41K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,569 |
5,799 |
$40K |
| 76830 |
Ultrasound, transvaginal |
786 |
595 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,926 |
11,971 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
715 |
620 |
$33K |
| 86803 |
|
5,971 |
4,736 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
914 |
642 |
$28K |
| 87653 |
|
3,103 |
2,489 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
9,282 |
7,491 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
323 |
291 |
$24K |
| 76821 |
|
879 |
356 |
$23K |
| 76813 |
|
360 |
236 |
$23K |
| 81025 |
|
6,856 |
5,705 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
758 |
658 |
$20K |
| 76820 |
|
1,758 |
727 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
216 |
$18K |
| 86780 |
|
3,346 |
2,921 |
$16K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,898 |
2,251 |
$15K |
| 80053 |
Comprehensive metabolic panel |
3,057 |
2,417 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,255 |
1,212 |
$15K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,807 |
1,469 |
$12K |
| 87480 |
|
2,005 |
1,492 |
$12K |
| 76825 |
|
61 |
40 |
$11K |
| 87186 |
|
1,389 |
1,071 |
$9K |
| 87341 |
|
8,183 |
6,525 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
119 |
92 |
$9K |
| 93976 |
|
76 |
38 |
$9K |
| 82950 |
|
7,387 |
6,072 |
$7K |
| 82951 |
|
1,132 |
918 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
960 |
766 |
$7K |
| 86701 |
|
8,594 |
6,744 |
$7K |
| 82728 |
|
708 |
590 |
$7K |
| 99243 |
|
229 |
171 |
$6K |
| 76801 |
|
69 |
58 |
$6K |
| 86704 |
|
988 |
898 |
$6K |
| 86706 |
|
1,004 |
908 |
$5K |
| 87340 |
|
988 |
897 |
$5K |
| 84702 |
|
468 |
284 |
$4K |
| 87510 |
|
2,011 |
1,494 |
$4K |
| 99235 |
|
33 |
27 |
$4K |
| 87660 |
|
2,022 |
1,503 |
$4K |
| 82607 |
|
241 |
180 |
$3K |
| 87088 |
|
1,613 |
1,267 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
46 |
41 |
$3K |
| 99215 |
Prolong outpt/office vis |
119 |
79 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
147 |
141 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
74 |
$2K |
| 99385 |
|
22 |
14 |
$2K |
| H0049 |
Alcohol and/or drug screening |
193 |
148 |
$2K |
| 85027 |
|
1,631 |
1,312 |
$2K |
| 85018 |
|
1,325 |
1,023 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
726 |
578 |
$2K |
| 87210 |
|
616 |
447 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
110 |
84 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
213 |
177 |
$2K |
| 54150 |
|
24 |
24 |
$2K |
| 76818 |
|
18 |
12 |
$2K |
| 84439 |
|
845 |
717 |
$2K |
| 82952 |
|
1,092 |
888 |
$1K |
| 82570 |
|
794 |
641 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
557 |
487 |
$1K |
| 76827 |
|
62 |
40 |
$1K |
| 83550 |
|
514 |
424 |
$1K |
| 82948 |
|
103 |
66 |
$1K |
| 84156 |
|
1,183 |
905 |
$953.47 |
| 81002 |
|
2,845 |
2,343 |
$900.29 |
| 76857 |
|
91 |
59 |
$873.86 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
13 |
$859.37 |
| 83540 |
|
634 |
513 |
$734.64 |
| 84481 |
|
77 |
68 |
$536.49 |
| 84550 |
|
478 |
380 |
$467.17 |
| 76828 |
|
24 |
14 |
$456.76 |
| 88141 |
|
74 |
60 |
$456.25 |
| 93325 |
|
62 |
40 |
$428.70 |
| 82746 |
|
195 |
138 |
$324.68 |
| 85014 |
|
767 |
644 |
$182.79 |
| 81001 |
|
113 |
108 |
$173.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$147.53 |
| 86696 |
|
16 |
13 |
$145.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$107.23 |
| 82565 |
|
27 |
25 |
$69.53 |
| 81015 |
|
55 |
53 |
$27.55 |
| 86695 |
|
15 |
12 |
$21.34 |
| 81003 |
|
28 |
26 |
$15.96 |
| 0501F |
|
464 |
381 |
$0.00 |
| 0502F |
|
987 |
266 |
$0.00 |
| 96160 |
|
17 |
15 |
$0.00 |
| 85045 |
|
16 |
15 |
$0.00 |