| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,557 |
39,473 |
$2.09M |
| 59426 |
|
2,204 |
2,197 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,426 |
20,765 |
$1.55M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,818 |
1,803 |
$1.38M |
| 76830 |
Ultrasound, transvaginal |
9,560 |
9,430 |
$668K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
793 |
791 |
$611K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,885 |
6,864 |
$559K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
9,212 |
9,122 |
$485K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,315 |
6,527 |
$477K |
| 58558 |
|
1,035 |
1,020 |
$462K |
| 59430 |
|
2,184 |
2,168 |
$434K |
| 76818 |
|
5,543 |
2,738 |
$382K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,254 |
3,249 |
$332K |
| J9202 |
Goserelin acetate implant, per 3.6 mg |
851 |
808 |
$325K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,195 |
4,171 |
$324K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
153 |
153 |
$305K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,516 |
4,498 |
$279K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,811 |
2,802 |
$253K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,429 |
3,770 |
$244K |
| 99215 |
Prolong outpt/office vis |
2,643 |
2,535 |
$236K |
| 59514 |
|
247 |
242 |
$211K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,129 |
6,844 |
$192K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,979 |
1,967 |
$187K |
| 76820 |
|
6,446 |
3,322 |
$174K |
| 99385 |
|
1,442 |
1,434 |
$142K |
| 59025 |
Fetal non-stress test |
4,601 |
2,434 |
$130K |
| 58662 |
|
505 |
465 |
$124K |
| 50715 |
|
178 |
160 |
$117K |
| 76801 |
|
1,647 |
1,612 |
$116K |
| 59425 |
|
254 |
253 |
$115K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,983 |
10,639 |
$91K |
| 81025 |
|
11,373 |
11,126 |
$77K |
| 54150 |
|
1,312 |
1,306 |
$75K |
| 58661 |
|
231 |
215 |
$61K |
| 76813 |
|
836 |
832 |
$58K |
| 58300 |
|
1,025 |
1,014 |
$53K |
| 11980 |
|
850 |
810 |
$45K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
48 |
48 |
$40K |
| 51700 |
|
854 |
329 |
$35K |
| 81002 |
|
13,567 |
11,855 |
$34K |
| 80305 |
|
4,122 |
3,893 |
$33K |
| 57454 |
|
372 |
369 |
$32K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
383 |
377 |
$29K |
| 99386 |
|
177 |
177 |
$21K |
| 58301 |
|
359 |
355 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
228 |
228 |
$19K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
6,304 |
6,071 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
214 |
212 |
$9K |
| 52000 |
|
229 |
223 |
$8K |
| 77080 |
|
173 |
172 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
64 |
56 |
$4K |
| 87210 |
|
738 |
715 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
81 |
78 |
$2K |
| 96127 |
|
769 |
754 |
$2K |
| 51729 |
|
12 |
12 |
$2K |
| 51701 |
|
101 |
90 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28 |
27 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
61 |
56 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
63 |
57 |
$2K |
| 96161 |
|
1,564 |
1,527 |
$2K |
| 87481 |
|
27 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
298 |
280 |
$859.66 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
16 |
14 |
$842.84 |
| 51797 |
|
12 |
12 |
$593.02 |
| 46600 |
|
13 |
12 |
$410.88 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
26 |
25 |
$299.08 |
| 51784 |
|
12 |
12 |
$220.42 |
| 51741 |
|
12 |
12 |
$50.13 |
| 0502F |
|
3,980 |
2,510 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
333 |
133 |
$0.00 |
| 0500F |
|
497 |
493 |
$0.00 |