| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,872 |
27,046 |
$1.29M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,760 |
3,790 |
$479K |
| 58558 |
|
1,805 |
1,591 |
$300K |
| 76830 |
Ultrasound, transvaginal |
3,915 |
3,809 |
$260K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
399 |
380 |
$232K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
4,294 |
3,091 |
$206K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,504 |
3,308 |
$186K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,427 |
3,978 |
$141K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,420 |
3,974 |
$141K |
| 76801 |
|
1,443 |
1,231 |
$106K |
| 59025 |
Fetal non-stress test |
3,838 |
2,810 |
$96K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,041 |
1,004 |
$88K |
| 58662 |
|
229 |
211 |
$84K |
| 87806 |
|
4,722 |
3,702 |
$81K |
| 0502F |
|
3,364 |
1,967 |
$74K |
| 87660 |
|
2,991 |
2,774 |
$54K |
| 87480 |
|
3,005 |
2,777 |
$54K |
| 87510 |
|
3,001 |
2,774 |
$53K |
| 86780 |
|
4,804 |
3,771 |
$49K |
| 81025 |
|
10,394 |
8,326 |
$46K |
| 59430 |
|
512 |
476 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
273 |
260 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
333 |
$22K |
| 57454 |
|
277 |
247 |
$20K |
| 99219 |
|
291 |
247 |
$19K |
| 90674 |
|
634 |
547 |
$15K |
| 76818 |
|
207 |
172 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,377 |
1,111 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
197 |
194 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
560 |
503 |
$10K |
| 80305 |
|
988 |
826 |
$9K |
| 59514 |
|
13 |
13 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
112 |
$7K |
| 99385 |
|
86 |
80 |
$5K |
| 90686 |
|
247 |
235 |
$4K |
| 81003 |
|
2,810 |
2,344 |
$4K |
| 90756 |
|
195 |
186 |
$4K |
| 57452 |
|
57 |
54 |
$4K |
| 87210 |
|
1,200 |
947 |
$3K |
| 82950 |
|
861 |
698 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
34 |
32 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
26 |
$2K |
| 86703 |
|
120 |
114 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$1K |
| 90656 |
|
58 |
53 |
$855.78 |
| 90661 |
|
330 |
137 |
$666.92 |
| 0503F |
|
40 |
40 |
$360.00 |