| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,410 |
1,394 |
$816K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,326 |
11,611 |
$699K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,340 |
8,921 |
$371K |
| 59514 |
|
530 |
505 |
$334K |
| 76830 |
Ultrasound, transvaginal |
3,158 |
2,935 |
$285K |
| 59430 |
|
2,177 |
2,107 |
$196K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,571 |
1,548 |
$157K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,270 |
5,168 |
$146K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,277 |
5,171 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,926 |
1,869 |
$145K |
| 76818 |
|
1,330 |
944 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,556 |
1,524 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,009 |
989 |
$84K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,359 |
1,322 |
$81K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,132 |
1,033 |
$78K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,837 |
3,764 |
$74K |
| 99000 |
|
6,413 |
6,138 |
$63K |
| 76801 |
|
721 |
710 |
$61K |
| 87800 |
|
1,241 |
1,217 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,256 |
6,085 |
$38K |
| 81003 |
|
21,264 |
14,849 |
$38K |
| 59020 |
|
1,466 |
1,381 |
$35K |
| 76813 |
|
342 |
335 |
$30K |
| 81025 |
|
3,859 |
3,600 |
$26K |
| 87806 |
|
653 |
645 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
241 |
$13K |
| 99205 |
Prolong outpt/office vis |
83 |
82 |
$7K |
| 90674 |
|
241 |
237 |
$6K |
| 82950 |
|
1,542 |
1,427 |
$6K |
| 99385 |
|
87 |
85 |
$5K |
| 81002 |
|
2,032 |
1,378 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
472 |
411 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
277 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
371 |
322 |
$3K |
| 90661 |
|
65 |
64 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
22 |
$864.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$358.62 |
| 87430 |
|
14 |
13 |
$125.67 |
| 82951 |
|
55 |
36 |
$82.60 |
| 82952 |
|
37 |
36 |
$16.45 |
| 0502F |
|
980 |
664 |
$0.00 |
| 99401 |
|
49 |
46 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
39 |
$0.00 |