| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,779 |
4,454 |
$328K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
92 |
92 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,328 |
3,203 |
$152K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,552 |
1,544 |
$143K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,252 |
1,965 |
$110K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,144 |
3,555 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
877 |
865 |
$85K |
| 86328 |
|
1,564 |
1,420 |
$66K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
204 |
196 |
$27K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
584 |
558 |
$17K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
584 |
558 |
$17K |
| 59426 |
|
16 |
16 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
159 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
539 |
$10K |
| 87510 |
|
525 |
511 |
$9K |
| 87480 |
|
504 |
491 |
$8K |
| 59425 |
|
18 |
18 |
$8K |
| 87660 |
|
504 |
490 |
$8K |
| 81025 |
|
1,204 |
1,188 |
$7K |
| 59025 |
Fetal non-stress test |
132 |
76 |
$4K |
| 87210 |
|
866 |
837 |
$3K |
| 83986 |
|
1,074 |
1,033 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
85 |
82 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
59 |
44 |
$2K |
| 76830 |
Ultrasound, transvaginal |
61 |
61 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 76857 |
|
46 |
46 |
$815.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
23 |
$678.30 |
| 87481 |
|
38 |
27 |
$588.05 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
28 |
27 |
$532.01 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
204 |
193 |
$440.72 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
13 |
$423.81 |
| 81002 |
|
165 |
162 |
$374.20 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
68 |
63 |
$258.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 82270 |
|
12 |
12 |
$26.88 |