| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
10,709 |
6,081 |
$942K |
| 59425 |
|
4,772 |
3,947 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,676 |
4,134 |
$255K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,520 |
3,180 |
$83K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,488 |
3,152 |
$82K |
| 59410 |
|
106 |
96 |
$78K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,706 |
1,544 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
647 |
551 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,387 |
1,269 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,249 |
4,746 |
$32K |
| 87480 |
|
1,763 |
1,582 |
$26K |
| 87510 |
|
1,703 |
1,529 |
$24K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
363 |
349 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
210 |
191 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
202 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
7,391 |
6,443 |
$16K |
| 59025 |
Fetal non-stress test |
596 |
444 |
$15K |
| 87660 |
|
861 |
779 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
675 |
578 |
$8K |
| 81025 |
|
1,201 |
1,080 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
628 |
532 |
$7K |
| 90715 |
|
166 |
148 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
26 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
58 |
25 |
$2K |
| 82947 |
|
563 |
500 |
$2K |
| 90756 |
|
85 |
70 |
$2K |
| 90674 |
|
74 |
67 |
$2K |
| 90686 |
|
69 |
62 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
25 |
$895.21 |