| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,153 |
12,523 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,872 |
14,867 |
$727K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,959 |
6,549 |
$545K |
| 59514 |
|
770 |
751 |
$346K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,856 |
1,813 |
$220K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,598 |
2,478 |
$166K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,779 |
4,642 |
$148K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,878 |
6,702 |
$147K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,740 |
4,608 |
$146K |
| 76818 |
|
1,217 |
607 |
$123K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
144 |
144 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,772 |
2,652 |
$65K |
| 59430 |
|
504 |
498 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,686 |
6,461 |
$47K |
| 76801 |
|
427 |
409 |
$42K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,701 |
2,606 |
$38K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
411 |
216 |
$31K |
| 90715 |
|
724 |
713 |
$30K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,214 |
4,020 |
$29K |
| 86592 |
|
6,933 |
6,750 |
$26K |
| 87340 |
|
2,878 |
2,797 |
$26K |
| 84703 |
|
3,580 |
3,494 |
$24K |
| 86762 |
|
1,909 |
1,839 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
254 |
250 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,175 |
2,104 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,192 |
1,143 |
$15K |
| 81001 |
|
4,328 |
4,131 |
$12K |
| 86885 |
|
2,250 |
2,171 |
$11K |
| 76830 |
Ultrasound, transvaginal |
93 |
92 |
$9K |
| 87081 |
|
1,441 |
1,418 |
$9K |
| 82950 |
|
1,761 |
1,737 |
$8K |
| 84702 |
|
565 |
449 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
82 |
82 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
81 |
$6K |
| 59025 |
Fetal non-stress test |
123 |
82 |
$5K |
| 87800 |
|
135 |
133 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
78 |
$5K |
| 86900 |
|
1,842 |
1,775 |
$5K |
| 86901 |
|
1,817 |
1,750 |
$5K |
| 90658 |
|
231 |
230 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
55 |
$2K |
| 76813 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
68 |
$1K |
| 90686 |
|
51 |
51 |
$1K |
| 87210 |
|
201 |
197 |
$993.34 |
| CP002 |
|
84 |
66 |
$781.06 |
| 84144 |
|
12 |
12 |
$224.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |