| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,200 |
54,518 |
$4.78M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,965 |
1,895 |
$2.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,143 |
8,451 |
$844K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,506 |
4,533 |
$635K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,732 |
12,700 |
$568K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,206 |
6,317 |
$553K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,577 |
5,158 |
$483K |
| 76830 |
Ultrasound, transvaginal |
3,483 |
3,381 |
$324K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,023 |
1,968 |
$291K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,880 |
2,777 |
$258K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,231 |
2,188 |
$235K |
| 81002 |
|
68,628 |
52,058 |
$225K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,556 |
2,468 |
$176K |
| 59514 |
|
189 |
183 |
$171K |
| 76820 |
|
3,987 |
1,849 |
$151K |
| 81025 |
|
16,552 |
15,874 |
$124K |
| 59430 |
|
887 |
883 |
$123K |
| 99215 |
Prolong outpt/office vis |
947 |
870 |
$106K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,883 |
3,724 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
564 |
543 |
$78K |
| 54150 |
|
545 |
542 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
243 |
238 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
317 |
309 |
$21K |
| 59025 |
Fetal non-stress test |
730 |
499 |
$20K |
| 58558 |
|
25 |
24 |
$20K |
| 99385 |
|
176 |
172 |
$20K |
| A4550 |
Surgical trays |
3,138 |
3,059 |
$15K |
| 99205 |
Prolong outpt/office vis |
50 |
46 |
$8K |
| 99080 |
|
42 |
42 |
$8K |
| 96160 |
|
574 |
562 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
79 |
74 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
83 |
80 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
44 |
44 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
29 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
40 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
30 |
$3K |
| 85018 |
|
659 |
605 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
46 |
43 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
99 |
38 |
$1K |
| 76818 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
323 |
251 |
$1K |
| 87640 |
|
34 |
33 |
$990.92 |
| 87481 |
|
104 |
34 |
$852.84 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$794.34 |
| 87653 |
|
33 |
32 |
$757.92 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
24 |
$718.59 |
| 87529 |
|
23 |
22 |
$683.28 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
21 |
21 |
$612.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$71.32 |
| 3074F |
|
2,440 |
2,287 |
$14.42 |
| 3078F |
|
1,745 |
1,645 |
$10.54 |
| 3079F |
|
989 |
934 |
$5.62 |
| 3075F |
|
270 |
257 |
$1.69 |
| 3080F |
|
28 |
26 |
$0.17 |
| 3077F |
|
14 |
14 |
$0.11 |
| 3044F |
|
14 |
12 |
$0.07 |