| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,574 |
16,694 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,720 |
10,066 |
$675K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,653 |
7,020 |
$300K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
824 |
787 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
560 |
554 |
$33K |
| 81025 |
|
4,586 |
4,346 |
$28K |
| 81002 |
|
5,456 |
5,298 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
147 |
124 |
$10K |
| 76830 |
Ultrasound, transvaginal |
129 |
122 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
90 |
60 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
372 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
60 |
53 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
53 |
38 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
40 |
$3K |
| 59025 |
Fetal non-stress test |
108 |
92 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
24 |
$2K |
| 87529 |
|
51 |
51 |
$2K |
| 90686 |
|
109 |
108 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
24 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
51 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
51 |
51 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
51 |
51 |
$877.82 |
| 90688 |
|
57 |
48 |
$854.36 |
| 90674 |
|
29 |
29 |
$658.52 |
| 87660 |
|
29 |
28 |
$524.03 |
| 87480 |
|
28 |
27 |
$502.37 |
| 87510 |
|
28 |
27 |
$502.37 |
| 87640 |
|
26 |
25 |
$339.77 |
| 87511 |
|
120 |
117 |
$318.48 |