| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,599 |
15,925 |
$1.02M |
| 76830 |
Ultrasound, transvaginal |
8,143 |
7,969 |
$709K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,030 |
7,906 |
$596K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,592 |
6,208 |
$498K |
| 81513 |
|
3,940 |
3,884 |
$477K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,219 |
4,216 |
$316K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,756 |
3,231 |
$298K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,483 |
3,896 |
$258K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
8,413 |
8,321 |
$238K |
| 99401 |
|
12,536 |
11,091 |
$233K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,451 |
8,364 |
$188K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,449 |
8,364 |
$160K |
| 87563 |
|
4,830 |
4,766 |
$142K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
4,637 |
4,633 |
$139K |
| 99385 |
|
1,474 |
1,473 |
$123K |
| 76801 |
|
1,928 |
1,566 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,517 |
1,516 |
$120K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,558 |
1,556 |
$120K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,954 |
1,747 |
$118K |
| 81025 |
|
19,357 |
18,279 |
$96K |
| 87481 |
|
5,310 |
5,239 |
$93K |
| 57454 |
|
786 |
780 |
$85K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,330 |
1,116 |
$85K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,593 |
1,577 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
639 |
639 |
$74K |
| 81007 |
|
28,120 |
24,123 |
$72K |
| 76818 |
|
823 |
530 |
$67K |
| 99386 |
|
520 |
520 |
$52K |
| 81002 |
|
27,424 |
23,249 |
$41K |
| 93975 |
|
157 |
156 |
$28K |
| 76376 |
|
2,708 |
2,646 |
$23K |
| 76820 |
|
577 |
468 |
$23K |
| 87081 |
|
4,063 |
3,976 |
$14K |
| 87625 |
|
356 |
356 |
$13K |
| 56820 |
|
162 |
160 |
$10K |
| 87480 |
|
504 |
501 |
$7K |
| 87510 |
|
487 |
484 |
$7K |
| 99215 |
Prolong outpt/office vis |
69 |
69 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
8,981 |
8,236 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
94 |
$4K |
| 99459 |
|
162 |
159 |
$3K |
| 90674 |
|
102 |
101 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
214 |
181 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
173 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
15 |
$2K |
| 57420 |
|
36 |
34 |
$1K |
| 83986 |
|
524 |
521 |
$968.47 |
| 58100 |
|
15 |
12 |
$680.90 |
| 58300 |
|
12 |
12 |
$592.74 |
| 57452 |
|
12 |
12 |
$312.24 |
| 59025 |
Fetal non-stress test |
14 |
12 |
$282.66 |
| 96160 |
|
13 |
12 |
$30.94 |
| 99000 |
|
1,147 |
1,135 |
$0.00 |