| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,569 |
4,733 |
$540K |
| 0502F |
|
2,541 |
1,678 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,401 |
1,932 |
$116K |
| 76830 |
Ultrasound, transvaginal |
1,673 |
1,457 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
678 |
632 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
720 |
649 |
$56K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,255 |
1,087 |
$54K |
| 99385 |
|
518 |
474 |
$54K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,251 |
1,086 |
$54K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
821 |
714 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
350 |
274 |
$26K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
447 |
353 |
$13K |
| 87481 |
|
271 |
230 |
$12K |
| 81025 |
|
2,296 |
1,846 |
$10K |
| 87511 |
|
243 |
204 |
$10K |
| 36410 |
|
818 |
661 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
303 |
279 |
$9K |
| 87806 |
|
398 |
310 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
718 |
556 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
173 |
$5K |
| 87510 |
|
145 |
136 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
42 |
$3K |
| 87480 |
|
109 |
104 |
$3K |
| 87660 |
|
156 |
145 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
20 |
$2K |
| 59025 |
Fetal non-stress test |
59 |
30 |
$2K |
| 81002 |
|
490 |
374 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$934.70 |
| 80305 |
|
35 |
25 |
$314.30 |
| 36415 |
Collection of venous blood by venipuncture |
362 |
292 |
$309.35 |
| 99072 |
|
31 |
27 |
$0.00 |