| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,805 |
12,676 |
$1.20M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,348 |
4,606 |
$387K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,929 |
3,553 |
$284K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
366 |
346 |
$271K |
| 76830 |
Ultrasound, transvaginal |
2,591 |
2,417 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,713 |
1,580 |
$163K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,574 |
3,269 |
$106K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,575 |
3,272 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,326 |
1,290 |
$103K |
| 59430 |
|
461 |
440 |
$102K |
| 81002 |
|
15,555 |
10,423 |
$84K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,697 |
1,355 |
$84K |
| 87480 |
|
3,635 |
3,387 |
$63K |
| 87510 |
|
3,602 |
3,375 |
$63K |
| 87660 |
|
3,609 |
3,383 |
$62K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
514 |
469 |
$54K |
| 36415 |
Collection of venous blood by venipuncture |
8,472 |
7,094 |
$50K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,248 |
2,942 |
$46K |
| 87806 |
|
1,531 |
1,357 |
$38K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
615 |
284 |
$33K |
| 76818 |
|
443 |
204 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
648 |
614 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,329 |
1,192 |
$30K |
| 81003 |
|
770 |
574 |
$29K |
| 87150 |
|
1,067 |
924 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
295 |
283 |
$25K |
| 96127 |
|
1,781 |
1,592 |
$23K |
| 58558 |
|
45 |
43 |
$23K |
| 81025 |
|
1,938 |
1,813 |
$21K |
| 84439 |
|
2,078 |
1,858 |
$18K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
487 |
369 |
$17K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
232 |
155 |
$11K |
| 59025 |
Fetal non-stress test |
373 |
247 |
$10K |
| 87481 |
|
422 |
145 |
$9K |
| 96160 |
|
380 |
358 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
197 |
180 |
$8K |
| 76820 |
|
220 |
129 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
39 |
$6K |
| 90715 |
|
165 |
149 |
$5K |
| 84703 |
|
668 |
615 |
$4K |
| 87653 |
|
126 |
104 |
$4K |
| 83001 |
|
227 |
199 |
$3K |
| 87081 |
|
703 |
617 |
$3K |
| 83002 |
|
185 |
157 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
33 |
$3K |
| 90688 |
|
113 |
89 |
$2K |
| 82670 |
|
114 |
100 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
60 |
42 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
177 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
35 |
$2K |
| 99406 |
|
51 |
48 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$975.10 |
| 84144 |
|
79 |
67 |
$900.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$762.00 |
| 84146 |
|
39 |
38 |
$523.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
27 |
$455.20 |
| 84702 |
|
20 |
13 |
$162.60 |
| 88141 |
|
581 |
561 |
$0.00 |
| 4004F |
|
19 |
15 |
$0.00 |