| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,209 |
16,261 |
$683K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,658 |
6,528 |
$386K |
| 81514 |
|
2,060 |
1,986 |
$368K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,294 |
3,373 |
$330K |
| 76830 |
Ultrasound, transvaginal |
2,052 |
1,996 |
$184K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,645 |
6,418 |
$181K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,619 |
6,394 |
$180K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,165 |
2,058 |
$167K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,336 |
1,298 |
$130K |
| 99000 |
|
12,402 |
11,185 |
$126K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,940 |
1,367 |
$123K |
| 87806 |
|
4,257 |
4,110 |
$108K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,231 |
1,214 |
$104K |
| 80050 |
General health panel |
3,122 |
3,052 |
$100K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,855 |
1,609 |
$88K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,229 |
1,204 |
$82K |
| 76801 |
|
889 |
832 |
$77K |
| 76820 |
|
2,116 |
1,460 |
$70K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,089 |
855 |
$69K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
905 |
883 |
$62K |
| 81002 |
|
21,642 |
13,100 |
$59K |
| 76813 |
|
642 |
628 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,478 |
2,285 |
$50K |
| 87480 |
|
4,839 |
1,492 |
$44K |
| 59430 |
|
461 |
393 |
$42K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,384 |
3,187 |
$41K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,317 |
5,020 |
$41K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
66 |
65 |
$39K |
| 80055 |
|
1,157 |
1,106 |
$38K |
| H1010 |
Non-medical family planning education, per session |
3,013 |
2,793 |
$34K |
| 80061 |
Lipid panel |
4,046 |
3,939 |
$34K |
| 81025 |
|
4,408 |
4,131 |
$30K |
| 99234 |
|
304 |
261 |
$29K |
| 76818 |
|
288 |
208 |
$26K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,026 |
979 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,870 |
3,618 |
$23K |
| 87340 |
|
3,491 |
3,403 |
$22K |
| 86703 |
|
1,426 |
1,406 |
$16K |
| 84439 |
|
2,074 |
1,961 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,293 |
1,209 |
$14K |
| 86592 |
|
4,011 |
3,905 |
$14K |
| 87481 |
|
376 |
122 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,337 |
1,271 |
$9K |
| 59514 |
|
12 |
12 |
$9K |
| 82950 |
|
2,174 |
2,093 |
$8K |
| 87660 |
|
1,232 |
1,107 |
$8K |
| 99385 |
|
85 |
82 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
389 |
361 |
$5K |
| 82607 |
|
339 |
330 |
$4K |
| 82746 |
|
340 |
331 |
$4K |
| 82728 |
|
327 |
318 |
$4K |
| 83550 |
|
327 |
318 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
33 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 83540 |
|
327 |
318 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
95 |
$972.81 |
| 90686 |
|
61 |
58 |
$929.14 |
| 90674 |
|
35 |
34 |
$886.98 |
| 82951 |
|
84 |
84 |
$867.60 |
| 87150 |
|
24 |
24 |
$786.00 |
| 86762 |
|
59 |
59 |
$723.58 |
| 86850 |
|
61 |
61 |
$486.11 |
| 87510 |
|
45 |
41 |
$482.98 |
| 82952 |
|
83 |
83 |
$261.60 |
| 83001 |
|
15 |
14 |
$218.54 |
| 86900 |
|
60 |
60 |
$153.04 |
| 87015 |
|
24 |
24 |
$149.52 |
| 86901 |
|
54 |
54 |
$131.87 |
| 82948 |
|
18 |
14 |
$47.93 |
| 36415 |
Collection of venous blood by venipuncture |
208 |
181 |
$0.00 |