| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,036 |
15,531 |
$611K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
583 |
548 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,209 |
4,756 |
$254K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,879 |
1,777 |
$225K |
| 59430 |
|
2,681 |
2,346 |
$210K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,506 |
6,865 |
$189K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,521 |
6,868 |
$189K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
8,051 |
6,451 |
$180K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,844 |
1,738 |
$141K |
| 81514 |
|
820 |
645 |
$114K |
| 76818 |
|
1,800 |
825 |
$114K |
| 99205 |
Prolong outpt/office vis |
1,873 |
1,161 |
$103K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,349 |
1,527 |
$97K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,679 |
1,386 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,572 |
1,533 |
$90K |
| 99215 |
Prolong outpt/office vis |
1,832 |
1,106 |
$71K |
| 81002 |
|
32,837 |
18,863 |
$64K |
| 81025 |
|
12,757 |
8,935 |
$62K |
| 59410 |
|
67 |
65 |
$47K |
| 80305 |
|
7,834 |
3,823 |
$41K |
| 76830 |
Ultrasound, transvaginal |
620 |
584 |
$37K |
| 87653 |
|
1,516 |
1,123 |
$32K |
| 87481 |
|
1,438 |
705 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
657 |
622 |
$27K |
| 99091 |
|
167 |
144 |
$18K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,039 |
733 |
$17K |
| 59514 |
|
32 |
25 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,911 |
1,581 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
988 |
755 |
$16K |
| 76801 |
|
162 |
140 |
$13K |
| 87150 |
|
688 |
426 |
$11K |
| 99385 |
|
222 |
130 |
$7K |
| 86703 |
|
241 |
200 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
702 |
503 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
26 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
41 |
$2K |
| 87480 |
|
199 |
92 |
$1K |
| 11982 |
|
16 |
16 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$814.94 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$733.29 |
| 59025 |
Fetal non-stress test |
33 |
25 |
$688.83 |
| 87510 |
|
102 |
67 |
$673.60 |
| 80081 |
|
19 |
13 |
$600.18 |
| 87660 |
|
81 |
51 |
$375.02 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$249.73 |
| 85660 |
|
18 |
12 |
$41.89 |
| 86592 |
|
27 |
13 |
$32.66 |
| 36415 |
Collection of venous blood by venipuncture |
1,720 |
1,109 |
$25.00 |