| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,944 |
5,943 |
$358K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,565 |
7,569 |
$302K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,316 |
7,104 |
$203K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,311 |
7,104 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,310 |
2,247 |
$179K |
| 76830 |
Ultrasound, transvaginal |
1,564 |
1,478 |
$141K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
963 |
943 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,011 |
971 |
$84K |
| 81025 |
|
12,218 |
10,135 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,223 |
1,196 |
$81K |
| 59410 |
|
86 |
85 |
$63K |
| 87480 |
|
3,843 |
3,763 |
$62K |
| 87510 |
|
3,845 |
3,765 |
$62K |
| 87660 |
|
3,828 |
3,751 |
$62K |
| 81002 |
|
21,704 |
14,703 |
$60K |
| 87800 |
|
1,170 |
1,129 |
$40K |
| 76801 |
|
338 |
333 |
$31K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
411 |
400 |
$28K |
| 76813 |
|
308 |
303 |
$28K |
| 59430 |
|
316 |
283 |
$27K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$23K |
| 99000 |
|
785 |
745 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
663 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
278 |
270 |
$6K |
| 99385 |
|
28 |
28 |
$2K |