| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
163 |
91 |
$143K |
| 0502F |
|
1,374 |
943 |
$65K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,280 |
916 |
$51K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,240 |
898 |
$49K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
564 |
447 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
618 |
538 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
559 |
487 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
529 |
404 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
334 |
276 |
$20K |
| 76801 |
|
363 |
317 |
$17K |
| 76830 |
Ultrasound, transvaginal |
275 |
237 |
$12K |
| 59514 |
|
16 |
13 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
389 |
289 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
91 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
200 |
136 |
$8K |
| 87481 |
|
118 |
61 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
176 |
134 |
$8K |
| 87653 |
|
140 |
121 |
$6K |
| 86780 |
|
341 |
276 |
$5K |
| 59025 |
Fetal non-stress test |
226 |
120 |
$5K |
| 87511 |
|
104 |
62 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
70 |
51 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
18 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
425 |
350 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
61 |
40 |
$2K |
| 99234 |
|
31 |
28 |
$2K |
| 81513 |
|
19 |
18 |
$2K |
| 86803 |
|
80 |
52 |
$1K |
| 87340 |
|
66 |
51 |
$871.14 |
| 81025 |
|
216 |
140 |
$822.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
53 |
$365.40 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
19 |
12 |
$343.92 |
| 86762 |
|
20 |
12 |
$172.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$166.28 |
| 82950 |
|
13 |
13 |
$60.58 |