| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,121 |
6,663 |
$396K |
| 76830 |
Ultrasound, transvaginal |
2,290 |
2,215 |
$151K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,441 |
1,168 |
$148K |
| 58558 |
|
735 |
709 |
$129K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,742 |
1,671 |
$113K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,733 |
1,634 |
$63K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,731 |
1,634 |
$63K |
| 0502F |
|
2,440 |
1,286 |
$57K |
| 59025 |
Fetal non-stress test |
1,740 |
960 |
$50K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
74 |
70 |
$43K |
| 87806 |
|
1,983 |
1,898 |
$41K |
| 76818 |
|
549 |
388 |
$41K |
| 76801 |
|
542 |
442 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
415 |
392 |
$35K |
| 86780 |
|
1,957 |
1,870 |
$24K |
| 58662 |
|
41 |
41 |
$19K |
| 87510 |
|
876 |
833 |
$17K |
| 87660 |
|
872 |
830 |
$17K |
| 87480 |
|
876 |
832 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
232 |
$15K |
| 81025 |
|
1,947 |
1,828 |
$11K |
| 90674 |
|
220 |
217 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
80 |
$5K |
| 57452 |
|
74 |
69 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
392 |
293 |
$4K |
| 80305 |
|
213 |
209 |
$2K |
| 99219 |
|
37 |
28 |
$2K |
| 90661 |
|
208 |
44 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 81003 |
|
461 |
436 |
$831.81 |
| 82950 |
|
159 |
149 |
$655.84 |
| 90686 |
|
19 |
19 |
$361.57 |
| 90756 |
|
16 |
12 |
$273.48 |