| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,214 |
1,024 |
$1.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,746 |
18,888 |
$1.19M |
| 59510 |
|
418 |
351 |
$548K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,353 |
1,920 |
$191K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,950 |
1,619 |
$190K |
| 99199 |
Unlisted special service, procedure or report |
41,546 |
39,120 |
$144K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,923 |
4,315 |
$134K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,862 |
4,311 |
$131K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,340 |
3,981 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,571 |
1,266 |
$115K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
848 |
644 |
$98K |
| 87660 |
|
4,851 |
3,535 |
$91K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,987 |
1,746 |
$91K |
| 87510 |
|
4,868 |
3,545 |
$80K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,955 |
1,418 |
$69K |
| 87481 |
|
2,038 |
1,745 |
$67K |
| 81025 |
|
10,960 |
8,272 |
$63K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
1,513 |
1,173 |
$55K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,971 |
2,996 |
$49K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,988 |
1,746 |
$43K |
| 85027 |
|
5,629 |
4,254 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,372 |
3,331 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,463 |
1,693 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
379 |
354 |
$29K |
| 80061 |
Lipid panel |
2,429 |
1,853 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
849 |
619 |
$25K |
| 84439 |
|
3,605 |
2,713 |
$24K |
| 76801 |
|
264 |
243 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
474 |
$17K |
| 76818 |
|
163 |
78 |
$13K |
| 84702 |
|
1,894 |
1,249 |
$12K |
| 54150 |
|
36 |
26 |
$11K |
| 82947 |
|
2,727 |
1,956 |
$10K |
| 90715 |
|
287 |
238 |
$10K |
| 59425 |
|
32 |
28 |
$10K |
| 77080 |
|
241 |
184 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
133 |
129 |
$9K |
| 81003 |
|
4,693 |
3,550 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
479 |
386 |
$5K |
| 76830 |
Ultrasound, transvaginal |
61 |
59 |
$5K |
| 82950 |
|
1,149 |
911 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
14 |
$2K |
| 57452 |
|
14 |
12 |
$837.90 |
| 0500F |
|
716 |
571 |
$589.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
24 |
$327.83 |
| 80305 |
|
15 |
14 |
$214.35 |
| 83001 |
|
15 |
12 |
$207.53 |
| 87428 |
|
166 |
113 |
$194.36 |
| 82670 |
|
15 |
12 |
$178.10 |
| 0503F |
|
1,047 |
752 |
$0.81 |