| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,500 |
37,854 |
$2.43M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,046 |
1,929 |
$1.03M |
| 59025 |
Fetal non-stress test |
20,514 |
11,352 |
$659K |
| 76830 |
Ultrasound, transvaginal |
4,859 |
4,562 |
$416K |
| 59514 |
|
690 |
637 |
$394K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,550 |
3,355 |
$322K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,543 |
4,266 |
$307K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,480 |
3,294 |
$270K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,646 |
4,282 |
$260K |
| 99236 |
Prolong inpt eval add15 m |
1,508 |
1,326 |
$197K |
| 59430 |
|
2,565 |
2,266 |
$194K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,833 |
2,281 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,061 |
3,440 |
$101K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,311 |
1,225 |
$78K |
| 99220 |
|
365 |
320 |
$36K |
| 81514 |
|
289 |
215 |
$31K |
| 99385 |
|
466 |
442 |
$30K |
| 81025 |
|
4,116 |
3,866 |
$26K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
871 |
792 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
872 |
792 |
$21K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
572 |
237 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
140 |
128 |
$13K |
| 87529 |
|
313 |
228 |
$11K |
| 81002 |
|
4,525 |
2,832 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,262 |
1,167 |
$9K |
| 76857 |
|
261 |
246 |
$8K |
| 87563 |
|
330 |
249 |
$7K |
| 87653 |
|
330 |
248 |
$6K |
| 87640 |
|
328 |
248 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
52 |
25 |
$3K |
| 11981 |
|
41 |
40 |
$2K |
| 87481 |
|
83 |
30 |
$1K |
| 11982 |
|
12 |
12 |
$1K |
| 58300 |
|
12 |
12 |
$1K |
| 57421 |
|
15 |
14 |
$1K |
| 99386 |
|
13 |
13 |
$941.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$935.54 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$870.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16 |
12 |
$503.41 |
| 87641 |
|
18 |
13 |
$336.60 |
| 87500 |
|
19 |
13 |
$336.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
13 |
$248.16 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
32 |
17 |
$88.44 |
| 0352U |
|
572 |
555 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
32 |
17 |
$0.00 |