| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,161 |
49,515 |
$3.68M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,104 |
10,176 |
$721K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,352 |
5,363 |
$509K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14,003 |
12,339 |
$505K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14,055 |
12,382 |
$505K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,170 |
9,925 |
$430K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15,109 |
13,244 |
$426K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,666 |
5,631 |
$422K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
610 |
592 |
$375K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,062 |
3,861 |
$353K |
| 59430 |
|
3,055 |
2,750 |
$319K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,272 |
4,105 |
$310K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,729 |
2,582 |
$296K |
| 81513 |
|
2,650 |
2,352 |
$239K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,382 |
2,245 |
$237K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
9,911 |
9,001 |
$230K |
| 0502F |
|
7,514 |
4,489 |
$215K |
| 87481 |
|
7,184 |
4,073 |
$167K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,909 |
1,724 |
$127K |
| 59514 |
|
261 |
241 |
$107K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,997 |
1,645 |
$97K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,501 |
1,420 |
$95K |
| 76830 |
Ultrasound, transvaginal |
1,226 |
1,157 |
$80K |
| 86592 |
|
10,143 |
9,145 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,189 |
8,135 |
$63K |
| 99205 |
Prolong outpt/office vis |
488 |
466 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
890 |
818 |
$52K |
| 87340 |
|
4,016 |
3,646 |
$50K |
| 99385 |
|
550 |
541 |
$47K |
| 87653 |
|
1,660 |
1,401 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
15,900 |
13,392 |
$27K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
392 |
371 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
277 |
256 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
114 |
$10K |
| 86803 |
|
728 |
678 |
$10K |
| 85660 |
|
1,593 |
1,491 |
$8K |
| 82950 |
|
1,576 |
1,475 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
75 |
$6K |
| 81514 |
|
105 |
49 |
$6K |
| 76801 |
|
69 |
66 |
$5K |
| 90715 |
|
130 |
126 |
$4K |
| 54150 |
|
24 |
24 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
94 |
89 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
205 |
$3K |
| 0503F |
|
208 |
171 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
400 |
324 |
$2K |
| 81025 |
|
370 |
324 |
$2K |
| 81003 |
|
570 |
527 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$1K |
| 0500F |
|
152 |
143 |
$930.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
74 |
56 |
$918.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
50 |
$703.62 |
| 81001 |
|
230 |
192 |
$562.68 |
| 84439 |
|
58 |
44 |
$402.56 |
| 87511 |
|
30 |
18 |
$389.49 |
| 90674 |
|
13 |
13 |
$365.28 |
| 90661 |
|
32 |
13 |
$184.25 |
| 82951 |
|
12 |
12 |
$155.76 |
| 80053 |
Comprehensive metabolic panel |
16 |
14 |
$149.43 |
| 82952 |
|
12 |
12 |
$47.52 |