| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,542 |
13,041 |
$909K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,103 |
5,905 |
$272K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,078 |
1,040 |
$82K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,906 |
1,870 |
$51K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,908 |
1,872 |
$50K |
| 99000 |
|
3,620 |
3,512 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
309 |
150 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
256 |
253 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,522 |
1,446 |
$19K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
36 |
36 |
$19K |
| 59514 |
|
39 |
38 |
$17K |
| 90674 |
|
449 |
438 |
$13K |
| 90715 |
|
241 |
238 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
133 |
128 |
$10K |
| 87806 |
|
320 |
317 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,212 |
1,183 |
$7K |
| 59430 |
|
57 |
57 |
$6K |
| 90678 |
|
12 |
12 |
$4K |
| 90661 |
|
142 |
141 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$3K |
| 87800 |
|
92 |
92 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
39 |
$3K |
| 81025 |
|
310 |
289 |
$2K |
| 82950 |
|
383 |
373 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$161.10 |
| 99459 |
|
206 |
205 |
$0.00 |
| 0503F |
|
57 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
59 |
$0.00 |
| 96127 |
|
82 |
77 |
$0.00 |
| 0500F |
|
179 |
178 |
$0.00 |
| 96136 |
|
53 |
52 |
$0.00 |
| 99080 |
|
38 |
38 |
$0.00 |