| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,768 |
4,375 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,733 |
2,983 |
$212K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,600 |
1,483 |
$95K |
| 76830 |
Ultrasound, transvaginal |
1,060 |
970 |
$69K |
| 81514 |
|
315 |
268 |
$53K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,753 |
1,391 |
$43K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,751 |
1,391 |
$43K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,402 |
1,094 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
437 |
424 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
44 |
43 |
$24K |
| 81025 |
|
4,799 |
3,923 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
449 |
363 |
$23K |
| 99385 |
|
249 |
242 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
166 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
216 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
138 |
133 |
$12K |
| 59430 |
|
128 |
118 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
421 |
$10K |
| 0502F |
|
314 |
206 |
$8K |
| 76801 |
|
78 |
76 |
$6K |
| 87480 |
|
244 |
221 |
$5K |
| 87510 |
|
244 |
221 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$4K |
| 81002 |
|
2,286 |
1,570 |
$4K |
| 87660 |
|
198 |
179 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
54 |
51 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
743 |
656 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
25 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$642.84 |
| 88142 |
|
1,646 |
885 |
$0.00 |