| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,892 |
7,667 |
$526K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
925 |
817 |
$71K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,503 |
842 |
$69K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,293 |
557 |
$68K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,318 |
965 |
$68K |
| 87660 |
|
3,579 |
2,529 |
$46K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
81 |
71 |
$43K |
| 87480 |
|
3,703 |
2,544 |
$42K |
| 87510 |
|
3,714 |
2,542 |
$42K |
| 59430 |
|
477 |
445 |
$42K |
| 76820 |
|
749 |
286 |
$28K |
| 76801 |
|
302 |
257 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,145 |
2,218 |
$17K |
| 59514 |
|
29 |
26 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
336 |
264 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
294 |
217 |
$13K |
| 81025 |
|
1,980 |
1,304 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
460 |
364 |
$4K |
| 82950 |
|
1,229 |
908 |
$4K |
| 81003 |
|
2,959 |
1,971 |
$4K |
| 80305 |
|
519 |
300 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
71 |
48 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
71 |
48 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
70 |
49 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$1K |