| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,049 |
10,976 |
$466K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
710 |
686 |
$354K |
| 59430 |
|
1,968 |
1,811 |
$166K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,225 |
1,167 |
$145K |
| 59514 |
|
194 |
185 |
$119K |
| 59410 |
|
173 |
165 |
$108K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,380 |
1,334 |
$107K |
| 76801 |
|
1,322 |
1,143 |
$93K |
| 99205 |
Prolong outpt/office vis |
1,000 |
918 |
$84K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,315 |
866 |
$75K |
| 99215 |
Prolong outpt/office vis |
671 |
603 |
$42K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
673 |
635 |
$39K |
| 81002 |
|
13,842 |
9,965 |
$35K |
| 81025 |
|
5,364 |
4,760 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
497 |
480 |
$31K |
| 76830 |
Ultrasound, transvaginal |
506 |
474 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
522 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
362 |
343 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
250 |
230 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
253 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
95 |
87 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
742 |
692 |
$7K |
| 99234 |
|
79 |
71 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
176 |
161 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
79 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
41 |
40 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
59 |
53 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
59 |
53 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
58 |
52 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$834.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$165.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$84.89 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
120 |
$0.00 |