| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 01966 |
|
4,406 |
4,239 |
$545K |
| 59840 |
|
2,700 |
2,694 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,247 |
8,626 |
$472K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,958 |
3,778 |
$135K |
| 76998 |
|
2,898 |
2,799 |
$121K |
| S0190 |
Mifepristone, oral, 200 mg |
2,796 |
2,780 |
$118K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,553 |
6,181 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,629 |
$112K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,898 |
2,724 |
$88K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,655 |
3,430 |
$66K |
| 81025 |
|
12,050 |
11,633 |
$51K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,408 |
1,373 |
$48K |
| 76801 |
|
792 |
775 |
$38K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
541 |
541 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
384 |
383 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
380 |
379 |
$27K |
| 59841 |
|
89 |
88 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
316 |
315 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
152 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
600 |
575 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
852 |
848 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
8,171 |
7,695 |
$8K |
| S0191 |
Misoprostol, oral, 200 mcg |
3,092 |
3,001 |
$7K |
| 99459 |
|
114 |
114 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
570 |
558 |
$7K |
| 76830 |
Ultrasound, transvaginal |
302 |
295 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
137 |
$5K |
| 99401 |
|
180 |
176 |
$4K |
| 99201 |
|
90 |
90 |
$3K |
| 99051 |
|
1,105 |
1,054 |
$3K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
40 |
37 |
$2K |
| H0033 |
Oral medication administration, direct observation |
27 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 87110 |
|
118 |
118 |
$1K |
| 85018 |
|
857 |
845 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
1,948 |
1,836 |
$680.06 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
42 |
$619.42 |
| 90834 |
Psychotherapy, 45 minutes with patient |
28 |
12 |
$490.00 |
| 96127 |
|
917 |
903 |
$479.43 |
| 81002 |
|
231 |
184 |
$335.57 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
110 |
110 |
$290.79 |
| 36416 |
|
355 |
348 |
$272.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
130 |
130 |
$108.77 |
| J2590 |
Injection, oxytocin, up to 10 units |
12 |
12 |
$96.19 |
| 96150 |
|
12 |
12 |
$51.00 |
| 82962 |
|
16 |
16 |
$32.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
15 |
$14.88 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
510 |
500 |
$4.60 |
| 96160 |
|
494 |
487 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
14 |
14 |
$0.00 |
| 99000 |
|
450 |
442 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
60 |
59 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$0.00 |
| 3292F |
|
69 |
69 |
$0.00 |