| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,048 |
2,232 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,678 |
1,345 |
$74K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$22K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
23 |
13 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
269 |
197 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
470 |
343 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
454 |
328 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
140 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
169 |
129 |
$14K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
482 |
363 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
211 |
169 |
$12K |
| 76830 |
Ultrasound, transvaginal |
196 |
161 |
$12K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
252 |
144 |
$10K |
| 76801 |
|
162 |
122 |
$9K |
| 59025 |
Fetal non-stress test |
823 |
663 |
$9K |
| 87481 |
|
128 |
70 |
$7K |
| 0503F |
|
111 |
64 |
$6K |
| 87511 |
|
97 |
70 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
66 |
52 |
$4K |
| 81025 |
|
540 |
378 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
73 |
54 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
43 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
17 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
42 |
29 |
$1K |
| 0500F |
|
16 |
16 |
$705.60 |
| 96127 |
|
29 |
17 |
$404.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$127.53 |