| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,928 |
8,066 |
$577K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
769 |
753 |
$453K |
| 76818 |
|
2,295 |
1,322 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,539 |
4,286 |
$178K |
| 59430 |
|
1,559 |
1,504 |
$142K |
| 76830 |
Ultrasound, transvaginal |
1,301 |
1,229 |
$120K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,022 |
1,008 |
$88K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,253 |
1,188 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
896 |
875 |
$70K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,878 |
2,822 |
$70K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,786 |
2,734 |
$67K |
| 59514 |
|
101 |
98 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
822 |
808 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
697 |
576 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
422 |
405 |
$42K |
| 81002 |
|
16,534 |
10,055 |
$41K |
| 87800 |
|
690 |
681 |
$22K |
| 81025 |
|
3,036 |
2,857 |
$19K |
| 76801 |
|
128 |
123 |
$12K |
| 99000 |
|
1,205 |
1,173 |
$12K |
| 99385 |
|
143 |
142 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
70 |
70 |
$9K |
| 87806 |
|
316 |
312 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
431 |
317 |
$5K |
| 82950 |
|
1,070 |
1,060 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |
| 82947 |
|
12 |
12 |
$38.45 |