| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,895 |
12,019 |
$1.17M |
| 93975 |
|
3,619 |
2,912 |
$479K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,926 |
2,082 |
$298K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,083 |
3,391 |
$253K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,955 |
2,251 |
$207K |
| 76820 |
|
6,304 |
2,314 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,266 |
2,026 |
$158K |
| 76830 |
Ultrasound, transvaginal |
1,913 |
1,728 |
$137K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,815 |
1,606 |
$113K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,138 |
1,067 |
$83K |
| 81002 |
|
3,628 |
2,152 |
$74K |
| 81025 |
|
3,604 |
3,178 |
$68K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
660 |
584 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
596 |
515 |
$58K |
| 87480 |
|
3,080 |
2,853 |
$56K |
| 87510 |
|
3,070 |
2,847 |
$56K |
| 87660 |
|
3,080 |
2,856 |
$55K |
| 59025 |
Fetal non-stress test |
3,228 |
1,493 |
$50K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,835 |
1,661 |
$47K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,824 |
1,648 |
$47K |
| 76801 |
|
779 |
550 |
$42K |
| 81003 |
|
9,998 |
5,671 |
$38K |
| 59514 |
|
55 |
40 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
317 |
282 |
$30K |
| 58558 |
|
46 |
41 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
481 |
367 |
$23K |
| 87210 |
|
499 |
470 |
$22K |
| 59430 |
|
94 |
90 |
$20K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
14 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
381 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
215 |
160 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
12 |
$10K |
| 57420 |
|
98 |
86 |
$6K |
| 54150 |
|
80 |
78 |
$5K |
| 87150 |
|
138 |
121 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
247 |
135 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
29 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
37 |
$2K |
| 99401 |
|
33 |
28 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$1K |
| 99219 |
|
15 |
12 |
$980.43 |
| 99406 |
|
15 |
15 |
$156.05 |
| 96127 |
|
28 |
24 |
$83.43 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
143 |
136 |
$42.91 |
| 99459 |
|
123 |
109 |
$0.00 |
| 4004F |
|
121 |
87 |
$0.00 |