| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,318 |
30,815 |
$2.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,879 |
15,574 |
$1.41M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,460 |
1,202 |
$924K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,307 |
2,674 |
$412K |
| 99215 |
Prolong outpt/office vis |
3,922 |
3,076 |
$387K |
| 59514 |
|
611 |
468 |
$384K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,558 |
1,818 |
$337K |
| 59430 |
|
2,138 |
1,659 |
$334K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,373 |
3,746 |
$331K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
573 |
436 |
$261K |
| 99205 |
Prolong outpt/office vis |
1,738 |
1,384 |
$233K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,215 |
2,440 |
$226K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,402 |
2,588 |
$211K |
| 76830 |
Ultrasound, transvaginal |
2,382 |
1,953 |
$207K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,450 |
2,006 |
$202K |
| 76801 |
|
1,975 |
1,616 |
$189K |
| S0612 |
Annual gynecological examination, established patient |
2,043 |
1,692 |
$173K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,949 |
1,425 |
$172K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,126 |
1,761 |
$167K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,424 |
6,562 |
$161K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,437 |
6,571 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,960 |
1,721 |
$148K |
| 59410 |
|
354 |
339 |
$147K |
| 0352U |
|
1,008 |
773 |
$111K |
| 99429 |
|
2,014 |
1,699 |
$94K |
| S0610 |
Annual gynecological examination, new patient |
556 |
443 |
$67K |
| T1001 |
Nursing assessment / evaluation |
2,067 |
1,747 |
$65K |
| 59025 |
Fetal non-stress test |
2,860 |
1,796 |
$59K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,146 |
3,742 |
$54K |
| 99386 |
|
406 |
348 |
$53K |
| 90715 |
|
2,898 |
2,139 |
$51K |
| 99385 |
|
509 |
440 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,417 |
3,627 |
$43K |
| 90837 |
Psychotherapy, 53 minutes with patient |
452 |
254 |
$43K |
| 58300 |
|
869 |
680 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
359 |
299 |
$36K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
726 |
540 |
$34K |
| 81002 |
|
22,658 |
13,955 |
$33K |
| 0353U |
|
581 |
425 |
$30K |
| 59515 |
|
101 |
91 |
$30K |
| 99459 |
|
3,468 |
2,562 |
$27K |
| 11981 |
|
400 |
343 |
$25K |
| 90674 |
|
3,538 |
1,475 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
525 |
224 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
213 |
181 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
333 |
245 |
$17K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
74 |
67 |
$17K |
| 76820 |
|
578 |
218 |
$17K |
| 81025 |
|
4,536 |
3,613 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
363 |
295 |
$11K |
| 58301 |
|
216 |
179 |
$11K |
| 11976 |
|
91 |
83 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
125 |
107 |
$10K |
| 59200 |
|
158 |
148 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
50 |
40 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
123 |
106 |
$6K |
| 58100 |
|
76 |
63 |
$5K |
| 87210 |
|
2,903 |
2,338 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
230 |
208 |
$5K |
| 87481 |
|
162 |
143 |
$4K |
| 57454 |
|
29 |
24 |
$4K |
| 11983 |
|
16 |
13 |
$3K |
| 76813 |
|
38 |
32 |
$3K |
| 90661 |
|
93 |
90 |
$1K |
| 90678 |
|
91 |
72 |
$986.00 |
| 83986 |
|
1,030 |
803 |
$823.89 |
| 59425 |
|
749 |
352 |
$811.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
62 |
$623.59 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
161 |
142 |
$601.75 |
| 59426 |
|
1,029 |
537 |
$400.00 |
| 90686 |
|
71 |
63 |
$295.40 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
103 |
81 |
$154.65 |
| 96127 |
|
15 |
13 |
$13.02 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$0.00 |