| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,022 |
44,843 |
$3.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,386 |
16,999 |
$1.56M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
42,330 |
34,521 |
$1.11M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
42,100 |
34,410 |
$1.08M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,845 |
9,279 |
$905K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
567 |
545 |
$693K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,573 |
5,393 |
$552K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,632 |
4,080 |
$471K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
16,710 |
13,547 |
$450K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19,664 |
16,485 |
$440K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,787 |
2,446 |
$406K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
7,516 |
6,450 |
$326K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,973 |
2,964 |
$280K |
| 99199 |
Unlisted special service, procedure or report |
78,788 |
76,872 |
$274K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
385 |
349 |
$255K |
| 59025 |
Fetal non-stress test |
9,363 |
5,509 |
$241K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
7,687 |
6,283 |
$206K |
| 59510 |
|
166 |
138 |
$186K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,423 |
1,149 |
$178K |
| 76830 |
Ultrasound, transvaginal |
2,087 |
1,786 |
$170K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,775 |
2,473 |
$165K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,284 |
1,883 |
$127K |
| 76813 |
|
1,321 |
1,155 |
$123K |
| 87481 |
|
5,219 |
2,129 |
$117K |
| 81025 |
|
17,749 |
14,473 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,809 |
3,147 |
$107K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,552 |
1,446 |
$88K |
| 99219 |
|
1,089 |
879 |
$83K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,373 |
742 |
$82K |
| 81002 |
|
26,212 |
21,103 |
$77K |
| 99234 |
|
724 |
604 |
$73K |
| 80305 |
|
5,970 |
4,655 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
486 |
453 |
$66K |
| 87660 |
|
2,829 |
2,470 |
$59K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
997 |
832 |
$58K |
| 87510 |
|
2,812 |
2,460 |
$57K |
| 87511 |
|
2,292 |
1,881 |
$56K |
| 88141 |
|
2,958 |
2,350 |
$54K |
| 76857 |
|
883 |
583 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,530 |
2,390 |
$49K |
| 87625 |
|
1,551 |
1,254 |
$41K |
| 76801 |
|
533 |
382 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,857 |
4,085 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
397 |
308 |
$29K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
511 |
480 |
$24K |
| 99459 |
|
2,325 |
2,086 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,132 |
1,650 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
670 |
590 |
$19K |
| 96127 |
|
5,287 |
4,111 |
$19K |
| 85027 |
|
2,568 |
2,206 |
$17K |
| 99215 |
Prolong outpt/office vis |
159 |
151 |
$16K |
| 85018 |
|
5,225 |
4,277 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
365 |
312 |
$11K |
| 90686 |
|
945 |
614 |
$10K |
| 80061 |
Lipid panel |
781 |
669 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,097 |
954 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
468 |
448 |
$9K |
| 59426 |
|
13 |
13 |
$9K |
| 87563 |
|
380 |
367 |
$9K |
| 90715 |
|
313 |
229 |
$7K |
| 87480 |
|
536 |
399 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
395 |
350 |
$6K |
| 59425 |
|
16 |
16 |
$6K |
| 82950 |
|
1,132 |
947 |
$5K |
| 81003 |
|
2,873 |
2,247 |
$5K |
| 82947 |
|
829 |
710 |
$4K |
| 84702 |
|
459 |
339 |
$4K |
| 84439 |
|
376 |
336 |
$3K |
| 87210 |
|
888 |
698 |
$3K |
| 58558 |
|
15 |
15 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
27 |
$3K |
| 99401 |
|
93 |
64 |
$3K |
| 77080 |
|
56 |
56 |
$3K |
| 99385 |
|
27 |
27 |
$2K |
| 76820 |
|
56 |
26 |
$2K |
| 76818 |
|
26 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
249 |
214 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,181 |
1,001 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27 |
27 |
$1K |
| 99243 |
|
14 |
12 |
$1K |
| 90688 |
|
60 |
46 |
$702.17 |
| 83986 |
|
176 |
139 |
$623.88 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$488.10 |
| 90674 |
|
54 |
37 |
$483.40 |
| 82951 |
|
33 |
28 |
$458.23 |
| 82274 |
|
32 |
27 |
$254.93 |
| 87084 |
|
31 |
28 |
$248.32 |
| 90656 |
|
12 |
12 |
$244.57 |
| 84144 |
|
15 |
12 |
$221.60 |
| 90756 |
|
22 |
12 |
$216.45 |
| 96160 |
|
39 |
30 |
$112.34 |
| 81513 |
|
61 |
56 |
$88.43 |
| 88142 |
|
15 |
12 |
$80.18 |
| 88738 |
|
13 |
13 |
$74.94 |
| 0501F |
|
7,017 |
4,770 |
$1.83 |
| 0503F |
|
496 |
356 |
$0.35 |
| 0500F |
|
271 |
211 |
$0.23 |
| 99402 |
|
29 |
25 |
$0.00 |
| 0502F |
|
42 |
12 |
$0.00 |