| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121,872 |
98,631 |
$11.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,089 |
57,015 |
$9.46M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,322 |
6,438 |
$746K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
71,080 |
57,622 |
$729K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,102 |
3,890 |
$574K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16,337 |
13,815 |
$518K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16,323 |
13,816 |
$514K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,545 |
4,126 |
$482K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,022 |
5,929 |
$457K |
| 87481 |
|
7,563 |
5,657 |
$352K |
| 76820 |
|
6,066 |
4,518 |
$326K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12,551 |
10,207 |
$321K |
| 81002 |
|
100,628 |
80,748 |
$308K |
| 99215 |
Prolong outpt/office vis |
1,515 |
911 |
$294K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
8,134 |
6,904 |
$261K |
| 99459 |
|
9,886 |
9,254 |
$233K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
5,878 |
5,101 |
$225K |
| 87511 |
|
5,944 |
5,101 |
$191K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,247 |
1,004 |
$96K |
| 76830 |
Ultrasound, transvaginal |
1,406 |
1,182 |
$91K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
107 |
85 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
907 |
816 |
$63K |
| 87563 |
|
1,763 |
1,621 |
$58K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
682 |
619 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
567 |
473 |
$45K |
| 87625 |
|
1,571 |
1,153 |
$44K |
| 59025 |
Fetal non-stress test |
1,666 |
1,056 |
$40K |
| 96127 |
|
3,719 |
3,190 |
$28K |
| 76813 |
|
195 |
184 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
207 |
180 |
$21K |
| 81025 |
|
3,014 |
2,580 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
151 |
128 |
$20K |
| 99221 |
|
191 |
173 |
$20K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
457 |
347 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
132 |
117 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
399 |
294 |
$15K |
| 81513 |
|
952 |
707 |
$13K |
| 81003 |
|
5,996 |
4,812 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
583 |
541 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
212 |
199 |
$9K |
| 97802 |
|
93 |
84 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,168 |
1,763 |
$8K |
| 76818 |
|
74 |
54 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
106 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
59 |
52 |
$7K |
| 76376 |
|
159 |
143 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,069 |
908 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
23 |
14 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
838 |
654 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
29 |
$3K |
| 99235 |
|
14 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
309 |
268 |
$2K |
| 54150 |
|
27 |
24 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16 |
13 |
$1K |
| 90686 |
|
37 |
31 |
$854.10 |
| 3015F |
|
25 |
24 |
$500.00 |
| 82274 |
|
27 |
24 |
$344.93 |
| 87210 |
|
14 |
14 |
$72.61 |
| 0500F |
|
37 |
37 |
$30.50 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
106 |
81 |
$0.00 |
| 99397 |
|
34 |
30 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$0.00 |