| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
6,179 |
4,722 |
$939K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44,541 |
31,139 |
$935K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44,401 |
31,135 |
$930K |
| 87481 |
|
62,022 |
12,927 |
$772K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
19,525 |
12,873 |
$701K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
31,918 |
19,789 |
$483K |
| 81514 |
|
4,565 |
2,221 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,325 |
6,084 |
$179K |
| 76830 |
Ultrasound, transvaginal |
3,262 |
2,474 |
$149K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,136 |
1,715 |
$121K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
229 |
169 |
$98K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,789 |
7,246 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,285 |
978 |
$49K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,223 |
845 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,415 |
937 |
$40K |
| 87660 |
|
2,518 |
2,014 |
$34K |
| 87480 |
|
2,517 |
2,013 |
$34K |
| 87510 |
|
2,517 |
2,013 |
$34K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
710 |
349 |
$30K |
| 76820 |
|
685 |
333 |
$22K |
| 81025 |
|
7,037 |
4,889 |
$22K |
| 59514 |
|
50 |
26 |
$14K |
| 81002 |
|
8,792 |
5,924 |
$8K |
| 99218 |
|
142 |
122 |
$5K |
| 76801 |
|
106 |
65 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
46 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
398 |
277 |
$1K |
| 99215 |
Prolong outpt/office vis |
20 |
12 |
$868.44 |
| 99221 |
|
13 |
12 |
$750.24 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
15 |
$469.00 |
| 99385 |
|
19 |
12 |
$0.00 |
| 59430 |
|
43 |
23 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,115 |
2,373 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
14 |
$0.00 |