| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,533 |
26,490 |
$1.70M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,033 |
8,445 |
$740K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,049 |
15,950 |
$637K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,183 |
1,167 |
$628K |
| 59430 |
|
2,895 |
2,748 |
$260K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,292 |
2,239 |
$233K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,756 |
1,730 |
$135K |
| 81002 |
|
44,411 |
29,328 |
$121K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,974 |
906 |
$118K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,696 |
1,658 |
$104K |
| 76830 |
Ultrasound, transvaginal |
734 |
706 |
$66K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
544 |
532 |
$43K |
| 81025 |
|
4,792 |
4,620 |
$31K |
| 76813 |
|
223 |
221 |
$20K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
299 |
232 |
$19K |
| 99215 |
Prolong outpt/office vis |
263 |
250 |
$18K |
| 99235 |
|
89 |
78 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
766 |
691 |
$10K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
13 |
13 |
$10K |
| 59514 |
|
13 |
12 |
$8K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
161 |
100 |
$7K |
| 87481 |
|
219 |
124 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
75 |
$4K |
| 87529 |
|
177 |
143 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
157 |
143 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
157 |
143 |
$2K |
| 87500 |
|
130 |
100 |
$2K |
| 87653 |
|
160 |
124 |
$2K |
| 87640 |
|
161 |
124 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
144 |
131 |
$2K |
| 87511 |
|
157 |
143 |
$2K |
| 87641 |
|
130 |
100 |
$1K |
| 76801 |
|
14 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$970.03 |
| 58300 |
|
13 |
13 |
$906.97 |
| 87210 |
|
183 |
161 |
$743.80 |
| 99459 |
|
12 |
12 |
$0.00 |