| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
1,796 |
696 |
$153K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,898 |
2,605 |
$151K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,858 |
4,622 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,333 |
1,910 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,618 |
1,470 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
980 |
$98K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,393 |
1,256 |
$71K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,421 |
1,938 |
$61K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
45 |
44 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,496 |
1,255 |
$53K |
| 76801 |
|
1,277 |
1,141 |
$40K |
| 76820 |
|
1,836 |
714 |
$35K |
| 59410 |
|
52 |
48 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,331 |
1,124 |
$31K |
| 76830 |
Ultrasound, transvaginal |
851 |
787 |
$27K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
306 |
279 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
662 |
594 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
472 |
430 |
$16K |
| 81025 |
|
3,406 |
2,801 |
$13K |
| 59025 |
Fetal non-stress test |
399 |
279 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
541 |
486 |
$7K |
| 99385 |
|
102 |
93 |
$7K |
| 76821 |
|
196 |
93 |
$6K |
| 0500F |
|
968 |
691 |
$5K |
| 0503F |
|
276 |
243 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
231 |
211 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
231 |
211 |
$4K |
| 87653 |
|
208 |
195 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
169 |
159 |
$3K |
| 58300 |
|
53 |
39 |
$3K |
| 87481 |
|
169 |
159 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
40 |
$2K |
| 76828 |
|
54 |
25 |
$1K |
| 96160 |
|
81 |
77 |
$1K |
| 81005 |
|
1,092 |
845 |
$1K |
| 99459 |
|
101 |
79 |
$951.12 |
| 59430 |
|
144 |
131 |
$774.64 |
| 87511 |
|
169 |
159 |
$623.96 |
| 76827 |
|
13 |
13 |
$465.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
27 |
$108.40 |
| 81000 |
|
25 |
17 |
$54.36 |
| 0501F |
|
287 |
205 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
230 |
211 |
$0.00 |
| 0502F |
|
2,569 |
1,845 |
$0.00 |