| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,821 |
18,610 |
$868K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,591 |
5,414 |
$587K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
657 |
650 |
$376K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,287 |
3,614 |
$269K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
4,245 |
4,134 |
$251K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,586 |
6,418 |
$188K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,578 |
6,413 |
$188K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,711 |
2,666 |
$176K |
| 76801 |
|
1,764 |
1,707 |
$141K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
4,620 |
4,485 |
$123K |
| 87481 |
|
4,262 |
4,151 |
$116K |
| 81002 |
|
36,868 |
26,096 |
$102K |
| 81025 |
|
14,707 |
13,765 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,349 |
1,316 |
$97K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,372 |
1,361 |
$96K |
| 99385 |
|
1,243 |
1,225 |
$90K |
| 90651 |
|
288 |
287 |
$73K |
| 59514 |
|
121 |
120 |
$69K |
| 87800 |
|
1,721 |
1,681 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,121 |
$59K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,156 |
1,038 |
$55K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
982 |
978 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
793 |
594 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,931 |
1,828 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,988 |
1,898 |
$22K |
| 59430 |
|
184 |
184 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
293 |
286 |
$13K |
| 99236 |
Prolong inpt eval add15 m |
75 |
75 |
$13K |
| 81514 |
|
69 |
68 |
$12K |
| 86703 |
|
361 |
356 |
$4K |
| 86780 |
|
359 |
355 |
$4K |
| 81003 |
|
2,584 |
1,800 |
$4K |
| 76857 |
|
79 |
79 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
288 |
287 |
$3K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,744 |
3,245 |
$0.00 |
| 1036F |
|
185 |
179 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,746 |
3,249 |
$0.00 |
| 4044F |
|
245 |
231 |
$0.00 |