| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,571 |
25,995 |
$3.56M |
| 59840 |
|
4,897 |
4,885 |
$2.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,937 |
20,486 |
$2.79M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16,506 |
15,909 |
$1.72M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27,955 |
27,328 |
$846K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,637 |
5,577 |
$745K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,719 |
4,666 |
$719K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,795 |
4,716 |
$706K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,552 |
1,541 |
$702K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,720 |
4,487 |
$665K |
| S0190 |
Mifepristone, oral, 200 mg |
11,608 |
11,580 |
$631K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15,759 |
15,397 |
$501K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
28,033 |
27,437 |
$498K |
| 11981 |
|
1,798 |
1,798 |
$477K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,973 |
3,951 |
$401K |
| 11982 |
|
1,376 |
1,374 |
$380K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16,994 |
16,884 |
$368K |
| 76830 |
Ultrasound, transvaginal |
3,807 |
3,635 |
$292K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20,226 |
19,561 |
$266K |
| 58300 |
|
1,923 |
1,895 |
$266K |
| 99201 |
|
3,530 |
1,825 |
$240K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,623 |
1,472 |
$194K |
| 81025 |
|
35,183 |
34,380 |
$154K |
| 58301 |
|
930 |
919 |
$128K |
| 86703 |
|
8,602 |
8,575 |
$128K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
647 |
640 |
$116K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
247 |
244 |
$68K |
| S0191 |
Misoprostol, oral, 200 mcg |
12,505 |
12,207 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
6,263 |
5,752 |
$37K |
| 88141 |
|
1,582 |
1,582 |
$32K |
| 88142 |
|
1,362 |
1,362 |
$29K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
897 |
897 |
$29K |
| J2788 |
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) |
839 |
803 |
$25K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
66 |
66 |
$24K |
| S4993 |
Contraceptive pills for birth control |
2,539 |
2,511 |
$23K |
| 86901 |
|
307 |
306 |
$11K |
| 85018 |
|
13,066 |
12,744 |
$11K |
| 99051 |
|
965 |
950 |
$10K |
| 87210 |
|
8,290 |
8,145 |
$9K |
| 99385 |
|
65 |
65 |
$8K |
| 83986 |
|
7,877 |
7,761 |
$5K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
207 |
207 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$5K |
| 99441 |
|
13 |
13 |
$2K |
| 84403 |
|
222 |
220 |
$2K |
| 84702 |
|
976 |
649 |
$1K |
| 86803 |
|
2,383 |
2,381 |
$993.05 |
| 86780 |
|
2,779 |
2,760 |
$896.07 |
| 96127 |
|
1,996 |
1,987 |
$629.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
231 |
229 |
$534.58 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
554 |
554 |
$404.55 |
| 81002 |
|
2,374 |
2,343 |
$386.64 |
| 82670 |
|
54 |
54 |
$328.96 |
| S5001 |
Prescription drug, brand name |
389 |
382 |
$290.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,136 |
1,125 |
$193.05 |
| 82565 |
|
88 |
87 |
$54.39 |
| 84132 |
|
74 |
73 |
$47.18 |
| 87088 |
|
66 |
66 |
$0.00 |
| S5000 |
Prescription drug, generic |
84 |
81 |
$0.00 |