| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,864 |
47,903 |
$5.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,944 |
16,308 |
$2.38M |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
50,364 |
7,604 |
$1.94M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,231 |
8,847 |
$1.04M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,773 |
8,653 |
$882K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,054 |
926 |
$811K |
| 76818 |
|
9,709 |
6,646 |
$761K |
| 76821 |
|
10,158 |
7,034 |
$653K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,370 |
3,704 |
$607K |
| 87481 |
|
16,243 |
6,327 |
$593K |
| 76801 |
|
5,803 |
5,034 |
$511K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
6,986 |
4,539 |
$504K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,587 |
3,072 |
$496K |
| 76820 |
|
10,747 |
7,410 |
$430K |
| 59410 |
|
517 |
431 |
$396K |
| 59514 |
|
412 |
350 |
$350K |
| 99385 |
|
3,077 |
2,709 |
$350K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,436 |
2,692 |
$307K |
| 59025 |
Fetal non-stress test |
7,676 |
4,719 |
$303K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,279 |
4,862 |
$295K |
| 87529 |
|
9,772 |
6,581 |
$266K |
| 76830 |
Ultrasound, transvaginal |
3,104 |
2,527 |
$235K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
23,550 |
16,301 |
$217K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,262 |
2,656 |
$209K |
| 99233 |
Prolong inpt eval add15 m |
2,203 |
1,352 |
$204K |
| 87640 |
|
9,356 |
6,778 |
$201K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,191 |
1,875 |
$193K |
| 59430 |
|
1,429 |
1,258 |
$185K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,618 |
1,367 |
$174K |
| 57454 |
|
1,240 |
1,059 |
$161K |
| 99223 |
Prolong inpt eval add15 m |
971 |
815 |
$156K |
| 87511 |
|
8,103 |
6,593 |
$154K |
| 87653 |
|
7,338 |
6,027 |
$146K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,493 |
1,970 |
$141K |
| 99386 |
|
1,023 |
863 |
$135K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,437 |
3,613 |
$131K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,111 |
1,648 |
$128K |
| H1000 |
Prenatal care, at-risk assessment |
3,939 |
3,192 |
$124K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,644 |
1,359 |
$118K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,539 |
1,343 |
$98K |
| 87641 |
|
4,528 |
3,615 |
$97K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
6,878 |
5,649 |
$94K |
| 87500 |
|
4,876 |
3,674 |
$92K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,290 |
4,362 |
$67K |
| 81002 |
|
21,394 |
12,546 |
$49K |
| 81025 |
|
8,268 |
6,917 |
$46K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,935 |
2,051 |
$44K |
| 3015F |
|
2,585 |
2,182 |
$42K |
| 58300 |
|
247 |
223 |
$16K |
| 0503F |
|
900 |
753 |
$16K |
| 59515 |
|
19 |
13 |
$15K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,581 |
1,322 |
$13K |
| 54150 |
|
176 |
167 |
$12K |
| 3008F |
|
2,517 |
2,080 |
$9K |
| 87210 |
|
2,561 |
2,042 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
468 |
401 |
$7K |
| 99235 |
|
56 |
44 |
$6K |
| 81000 |
|
2,210 |
1,689 |
$5K |
| 11981 |
|
44 |
42 |
$5K |
| 58301 |
|
36 |
26 |
$3K |
| 2015F |
|
92 |
80 |
$1K |
| 57452 |
|
13 |
12 |
$1K |
| 90756 |
|
21 |
12 |
$255.33 |
| A4215 |
Needle, sterile, any size, each |
3,513 |
2,881 |
$148.21 |
| 0513F |
|
12 |
12 |
$120.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
99 |
66 |
$41.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$11.04 |