| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,887 |
7,338 |
$1.24M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,730 |
1,970 |
$252K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,340 |
1,669 |
$194K |
| 76820 |
|
3,674 |
1,961 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,016 |
1,666 |
$152K |
| 76830 |
Ultrasound, transvaginal |
1,659 |
1,342 |
$140K |
| 0225U |
|
351 |
286 |
$127K |
| 99205 |
Prolong outpt/office vis |
681 |
574 |
$125K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
169 |
139 |
$116K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,789 |
1,463 |
$110K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,665 |
1,353 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
834 |
758 |
$92K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,124 |
884 |
$80K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
913 |
771 |
$65K |
| 87481 |
|
1,372 |
738 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
200 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,158 |
940 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,155 |
939 |
$30K |
| 87511 |
|
1,130 |
928 |
$29K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,165 |
948 |
$29K |
| 87581 |
|
989 |
838 |
$27K |
| 81000 |
|
8,732 |
5,149 |
$24K |
| 0223U |
|
41 |
41 |
$17K |
| H1000 |
Prenatal care, at-risk assessment |
445 |
374 |
$14K |
| 81025 |
|
2,847 |
2,462 |
$14K |
| 59430 |
|
127 |
98 |
$13K |
| 76813 |
|
89 |
81 |
$8K |
| 76801 |
|
80 |
73 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
100 |
58 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
444 |
373 |
$6K |
| 87480 |
|
727 |
232 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
69 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
28 |
27 |
$4K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
115 |
25 |
$4K |
| 87808 |
|
328 |
279 |
$3K |
| 87653 |
|
100 |
92 |
$3K |
| 87563 |
|
167 |
114 |
$2K |
| 88142 |
|
136 |
119 |
$2K |
| 87109 |
|
87 |
25 |
$800.83 |
| 87640 |
|
13 |
13 |
$280.76 |
| 87905 |
|
14 |
14 |
$155.87 |
| 99000 |
|
1,103 |
818 |
$36.00 |