| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,088 |
18,846 |
$997K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,126 |
1,087 |
$655K |
| 59514 |
|
1,063 |
1,011 |
$641K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,812 |
3,670 |
$387K |
| 59430 |
|
2,424 |
2,249 |
$214K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,231 |
2,146 |
$189K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,257 |
1,938 |
$162K |
| 59410 |
|
198 |
193 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,557 |
1,511 |
$123K |
| 99000 |
|
9,915 |
9,155 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,240 |
1,188 |
$87K |
| 59515 |
|
113 |
110 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,596 |
1,533 |
$74K |
| 59025 |
Fetal non-stress test |
1,677 |
928 |
$63K |
| 81002 |
|
25,003 |
15,833 |
$61K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,122 |
2,081 |
$55K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,123 |
2,081 |
$55K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,214 |
3,652 |
$53K |
| 80081 |
|
911 |
888 |
$50K |
| 76830 |
Ultrasound, transvaginal |
552 |
518 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
728 |
$40K |
| 76801 |
|
344 |
338 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
396 |
368 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
428 |
392 |
$26K |
| 81025 |
|
3,355 |
3,231 |
$20K |
| 90715 |
|
335 |
320 |
$17K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
502 |
496 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
630 |
625 |
$11K |
| 84702 |
|
952 |
858 |
$10K |
| 81001 |
|
4,406 |
4,224 |
$9K |
| CP002 |
|
874 |
713 |
$9K |
| 82677 |
|
537 |
522 |
$8K |
| 82105 |
|
537 |
522 |
$6K |
| 86336 |
|
537 |
522 |
$5K |
| 87186 |
|
827 |
806 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
855 |
833 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
215 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
319 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
701 |
690 |
$4K |
| 82947 |
|
928 |
904 |
$3K |
| 82950 |
|
601 |
591 |
$2K |
| 86592 |
|
635 |
627 |
$2K |
| 58300 |
|
14 |
14 |
$1K |
| 58611 |
|
18 |
14 |
$486.21 |
| 0500F |
|
910 |
875 |
$0.00 |
| 0503F |
|
767 |
731 |
$0.00 |
| 99080 |
|
981 |
956 |
$0.00 |