| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,198 |
5,225 |
$412K |
| 76818 |
|
3,279 |
1,405 |
$279K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,849 |
1,614 |
$148K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,145 |
803 |
$70K |
| 76830 |
Ultrasound, transvaginal |
790 |
721 |
$70K |
| 99215 |
Prolong outpt/office vis |
836 |
770 |
$58K |
| 59430 |
|
546 |
471 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,306 |
$47K |
| 76801 |
|
552 |
522 |
$46K |
| 99000 |
|
2,942 |
2,420 |
$29K |
| 81002 |
|
9,935 |
4,934 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
585 |
565 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
586 |
565 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
171 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
109 |
107 |
$11K |
| 81025 |
|
1,531 |
1,427 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
64 |
62 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
80 |
63 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
56 |
$4K |
| 87808 |
|
445 |
424 |
$4K |
| 87905 |
|
449 |
425 |
$3K |
| 87210 |
|
744 |
661 |
$3K |
| 80305 |
|
244 |
226 |
$2K |
| 81003 |
|
260 |
247 |
$491.04 |
| 83986 |
|
86 |
76 |
$40.09 |