| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
30,014 |
21,923 |
$2.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,276 |
37,294 |
$1.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,504 |
13,834 |
$915K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15,159 |
13,806 |
$784K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,086 |
4,949 |
$689K |
| 76801 |
|
6,120 |
5,961 |
$423K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
8,089 |
7,645 |
$399K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
6,786 |
6,472 |
$368K |
| 76813 |
|
4,987 |
4,880 |
$314K |
| 59025 |
Fetal non-stress test |
13,330 |
9,557 |
$243K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,399 |
4,957 |
$238K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,059 |
3,574 |
$237K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
145 |
$231K |
| T1001 |
Nursing assessment / evaluation |
1,869 |
1,778 |
$224K |
| 76818 |
|
3,391 |
2,171 |
$217K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,881 |
3,809 |
$182K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,996 |
3,666 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,868 |
4,684 |
$176K |
| 59430 |
|
1,061 |
1,038 |
$108K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
252 |
251 |
$104K |
| 54150 |
|
895 |
857 |
$90K |
| 76820 |
|
2,595 |
1,794 |
$86K |
| 99429 |
|
626 |
619 |
$84K |
| 81025 |
|
15,578 |
15,135 |
$80K |
| 90651 |
|
1,311 |
1,243 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,022 |
3,912 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,347 |
1,300 |
$61K |
| 36415 |
Collection of venous blood by venipuncture |
14,985 |
14,353 |
$57K |
| 99242 |
|
869 |
855 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
945 |
929 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,519 |
2,404 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
645 |
628 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
246 |
242 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
635 |
359 |
$33K |
| 0502F |
|
3,207 |
2,748 |
$32K |
| 81002 |
|
11,949 |
10,418 |
$30K |
| S9470 |
Nutritional counseling, dietitian visit |
626 |
583 |
$30K |
| 90715 |
|
2,416 |
2,356 |
$27K |
| 99243 |
|
266 |
259 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
213 |
$24K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
224 |
224 |
$22K |
| 99241 |
|
486 |
480 |
$19K |
| 87210 |
|
4,407 |
4,254 |
$19K |
| 90686 |
|
998 |
995 |
$7K |
| 99205 |
Prolong outpt/office vis |
152 |
129 |
$6K |
| 11982 |
|
37 |
37 |
$5K |
| 76821 |
|
87 |
56 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
101 |
94 |
$4K |
| 58300 |
|
69 |
65 |
$1K |
| 97803 |
|
30 |
27 |
$1K |
| 99201 |
|
49 |
48 |
$1K |
| 99000 |
|
16,247 |
15,198 |
$1K |
| 99219 |
|
14 |
13 |
$839.03 |
| 99406 |
|
57 |
50 |
$549.73 |
| 58301 |
|
24 |
24 |
$524.01 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$481.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$463.77 |
| 76857 |
|
14 |
12 |
$179.40 |
| 99459 |
|
18 |
14 |
$159.00 |
| G9920 |
Screening performed and negative |
226 |
205 |
$1.01 |
| 90630 |
|
12 |
12 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |