| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,544 |
6,277 |
$944K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,046 |
8,604 |
$785K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,795 |
8,946 |
$608K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,185 |
3,047 |
$430K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,363 |
4,070 |
$416K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,036 |
4,323 |
$297K |
| 76801 |
|
2,341 |
2,254 |
$228K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,005 |
2,867 |
$215K |
| 76813 |
|
2,055 |
1,973 |
$203K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,873 |
1,815 |
$199K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,637 |
1,548 |
$134K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,955 |
1,793 |
$132K |
| 36415 |
Collection of venous blood by venipuncture |
26,982 |
22,849 |
$85K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
587 |
576 |
$71K |
| 76830 |
Ultrasound, transvaginal |
516 |
492 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
396 |
389 |
$46K |
| 59025 |
Fetal non-stress test |
1,298 |
815 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
718 |
687 |
$39K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,474 |
1,366 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,474 |
1,365 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,148 |
5,675 |
$34K |
| 90834 |
Psychotherapy, 45 minutes with patient |
370 |
280 |
$28K |
| 82728 |
|
2,996 |
2,771 |
$28K |
| 76857 |
|
575 |
553 |
$24K |
| 76820 |
|
700 |
461 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
649 |
606 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
321 |
252 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
968 |
906 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
192 |
155 |
$12K |
| 90686 |
|
658 |
634 |
$12K |
| 87210 |
|
2,845 |
1,313 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
393 |
387 |
$9K |
| 81025 |
|
1,353 |
1,264 |
$9K |
| 96127 |
|
1,851 |
1,801 |
$8K |
| 99385 |
|
58 |
56 |
$6K |
| 81002 |
|
3,042 |
2,806 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
279 |
259 |
$5K |
| 82670 |
|
261 |
251 |
$4K |
| 76818 |
|
37 |
28 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
53 |
$4K |
| 84403 |
|
216 |
209 |
$3K |
| 81001 |
|
1,235 |
1,142 |
$3K |
| 76825 |
|
17 |
13 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
451 |
413 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
239 |
220 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
120 |
107 |
$2K |
| 99459 |
|
117 |
116 |
$2K |
| 87340 |
|
220 |
206 |
$2K |
| 87150 |
|
42 |
38 |
$1K |
| 84439 |
|
124 |
120 |
$763.65 |
| 93325 |
|
44 |
40 |
$698.59 |
| 76827 |
|
17 |
13 |
$679.38 |
| 86803 |
|
51 |
51 |
$590.51 |
| 86762 |
|
53 |
50 |
$559.47 |
| 90715 |
|
14 |
12 |
$523.27 |
| 87081 |
|
59 |
53 |
$407.98 |
| 82950 |
|
79 |
77 |
$326.15 |
| 86850 |
|
37 |
36 |
$247.83 |
| 90656 |
|
15 |
15 |
$241.07 |
| 84146 |
|
13 |
13 |
$176.45 |
| 87088 |
|
34 |
27 |
$170.73 |
| 87077 |
|
14 |
13 |
$92.40 |
| 86901 |
|
13 |
12 |
$20.61 |
| 86900 |
|
13 |
12 |
$20.61 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,337 |
1,261 |
$0.10 |
| 0500F |
|
55 |
52 |
$0.00 |