| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,839 |
3,967 |
$876K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,639 |
6,034 |
$565K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,809 |
3,357 |
$448K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,422 |
3,420 |
$395K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,582 |
2,582 |
$323K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
9,684 |
9,664 |
$297K |
| 76830 |
Ultrasound, transvaginal |
2,102 |
1,819 |
$237K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,470 |
4,459 |
$137K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,457 |
4,446 |
$136K |
| 99385 |
|
680 |
680 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
54 |
54 |
$80K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,734 |
4,724 |
$60K |
| 81002 |
|
23,151 |
17,834 |
$60K |
| 99215 |
Prolong outpt/office vis |
309 |
281 |
$50K |
| 87081 |
|
9,359 |
9,281 |
$48K |
| 99386 |
|
285 |
285 |
$42K |
| 99205 |
Prolong outpt/office vis |
202 |
202 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
491 |
368 |
$36K |
| 86780 |
|
2,946 |
2,934 |
$34K |
| 86703 |
|
2,636 |
2,628 |
$28K |
| 87480 |
|
1,435 |
1,429 |
$25K |
| 87510 |
|
1,409 |
1,403 |
$25K |
| 81025 |
|
3,463 |
3,393 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
295 |
295 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,196 |
3,157 |
$21K |
| 87660 |
|
1,009 |
1,005 |
$18K |
| 90715 |
|
484 |
482 |
$18K |
| 76818 |
|
143 |
95 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,447 |
1,439 |
$18K |
| 86803 |
|
1,384 |
1,383 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
919 |
$15K |
| 88174 |
|
654 |
654 |
$14K |
| 87340 |
|
1,633 |
1,630 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
392 |
388 |
$11K |
| 84439 |
|
1,339 |
1,333 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
8,237 |
7,899 |
$9K |
| 76801 |
|
50 |
49 |
$6K |
| 90686 |
|
322 |
319 |
$6K |
| 86800 |
|
384 |
383 |
$5K |
| 86706 |
|
540 |
540 |
$5K |
| 86762 |
|
307 |
307 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
32 |
$3K |
| 86787 |
|
321 |
320 |
$3K |
| 83655 |
|
327 |
327 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
577 |
562 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
197 |
197 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
24 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 82670 |
|
98 |
98 |
$2K |
| 82950 |
|
527 |
527 |
$2K |
| 57454 |
|
12 |
12 |
$2K |
| 84702 |
|
144 |
138 |
$2K |
| 83001 |
|
115 |
115 |
$2K |
| 83002 |
|
114 |
114 |
$2K |
| 86886 |
|
382 |
381 |
$2K |
| 87797 |
|
93 |
93 |
$2K |
| 86765 |
|
138 |
138 |
$2K |
| 87290 |
|
146 |
146 |
$2K |
| 84481 |
|
104 |
104 |
$2K |
| 86735 |
|
132 |
132 |
$1K |
| 82627 |
|
73 |
73 |
$1K |
| 82607 |
|
103 |
103 |
$1K |
| 82746 |
|
103 |
103 |
$1K |
| 86376 |
|
103 |
103 |
$1K |
| 82728 |
|
104 |
104 |
$1K |
| 80050 |
General health panel |
68 |
68 |
$1K |
| 86900 |
|
394 |
393 |
$1K |
| 86901 |
|
394 |
393 |
$1K |
| 86704 |
|
91 |
91 |
$962.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
139 |
$812.32 |
| 83550 |
|
105 |
105 |
$790.76 |
| 86708 |
|
66 |
66 |
$735.27 |
| 86696 |
|
26 |
26 |
$446.68 |
| 80053 |
Comprehensive metabolic panel |
58 |
58 |
$387.27 |
| 84480 |
|
27 |
27 |
$322.94 |
| 84403 |
|
14 |
14 |
$305.53 |
| 86695 |
|
26 |
26 |
$304.32 |
| 80061 |
Lipid panel |
41 |
41 |
$228.38 |
| 99000 |
|
12 |
12 |
$0.00 |