| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
6,418 |
3,022 |
$277K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,991 |
2,143 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,399 |
1,175 |
$89K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,401 |
753 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,628 |
$80K |
| 76818 |
|
1,220 |
461 |
$68K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,658 |
928 |
$59K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
756 |
576 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
35 |
32 |
$32K |
| 76801 |
|
352 |
255 |
$24K |
| 76830 |
Ultrasound, transvaginal |
270 |
219 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
232 |
156 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
178 |
167 |
$14K |
| 0500F |
|
243 |
177 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
185 |
140 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
92 |
86 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
597 |
437 |
$6K |
| 59025 |
Fetal non-stress test |
566 |
410 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
570 |
438 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
43 |
36 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
55 |
39 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
158 |
140 |
$2K |
| 99219 |
|
32 |
26 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
42 |
40 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
58 |
51 |
$2K |
| 90686 |
|
88 |
55 |
$2K |
| 84703 |
|
187 |
170 |
$1K |
| 87481 |
|
15 |
12 |
$1K |
| 90715 |
|
43 |
32 |
$1K |
| 80053 |
Comprehensive metabolic panel |
132 |
106 |
$1K |
| 84439 |
|
139 |
126 |
$1K |
| 81001 |
|
356 |
296 |
$994.01 |
| 54150 |
|
12 |
12 |
$930.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
14 |
$870.20 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
13 |
$824.40 |
| 86780 |
|
43 |
36 |
$743.47 |
| 87511 |
|
15 |
12 |
$687.00 |
| 82950 |
|
113 |
100 |
$517.26 |
| 82947 |
|
114 |
100 |
$420.20 |
| 86803 |
|
17 |
15 |
$286.45 |
| 81025 |
|
78 |
57 |
$242.68 |
| 87340 |
|
17 |
15 |
$229.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
26 |
$220.50 |
| 36415 |
Collection of venous blood by venipuncture |
522 |
422 |
$61.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
29 |
$0.00 |