| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
8,818 |
4,212 |
$807K |
| 59425 |
|
5,869 |
4,598 |
$531K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,987 |
6,067 |
$374K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,678 |
3,263 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
1,178 |
$100K |
| 59025 |
Fetal non-stress test |
4,091 |
2,515 |
$97K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
826 |
771 |
$77K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,765 |
7,278 |
$49K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,941 |
1,822 |
$47K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,948 |
1,830 |
$47K |
| 59410 |
|
72 |
63 |
$43K |
| 81025 |
|
5,538 |
5,082 |
$35K |
| 76801 |
|
168 |
160 |
$12K |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$6K |
| 80305 |
|
541 |
514 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,404 |
2,121 |
$4K |
| 87660 |
|
269 |
249 |
$3K |
| 87480 |
|
268 |
247 |
$3K |
| 87510 |
|
255 |
235 |
$3K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
205 |
194 |
$3K |
| 82950 |
|
709 |
684 |
$3K |
| 81001 |
|
868 |
825 |
$2K |
| 81015 |
|
838 |
798 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
179 |
$2K |
| 82947 |
|
557 |
518 |
$2K |
| 86901 |
|
364 |
349 |
$907.67 |
| 86592 |
|
222 |
211 |
$854.68 |
| 86900 |
|
296 |
283 |
$737.44 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$645.66 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$206.72 |
| 85660 |
|
46 |
44 |
$133.92 |
| 80061 |
Lipid panel |
13 |
13 |
$12.05 |
| 0503F |
|
137 |
130 |
$0.00 |
| 3008F |
|
220 |
207 |
$0.00 |
| 0501F |
|
152 |
141 |
$0.00 |
| 3353F |
|
34 |
33 |
$0.00 |