| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,081 |
34,088 |
$2.14M |
| 76830 |
Ultrasound, transvaginal |
3,902 |
3,695 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,614 |
4,256 |
$386K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,756 |
3,622 |
$303K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
114 |
107 |
$242K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,884 |
1,846 |
$217K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,139 |
1,979 |
$208K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,446 |
1,414 |
$180K |
| 99459 |
|
8,018 |
7,564 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,657 |
2,497 |
$97K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,869 |
1,831 |
$88K |
| 81025 |
|
10,551 |
9,925 |
$70K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
825 |
709 |
$64K |
| 76642 |
|
727 |
676 |
$50K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,031 |
1,976 |
$48K |
| 59510 |
|
19 |
19 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,898 |
2,785 |
$34K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
33 |
33 |
$33K |
| 59025 |
Fetal non-stress test |
800 |
544 |
$29K |
| 76801 |
|
248 |
237 |
$25K |
| 77066 |
Tomosynthesis, mammo |
155 |
146 |
$20K |
| 96127 |
|
3,884 |
3,429 |
$18K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
15 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
217 |
214 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
213 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
7,140 |
6,396 |
$15K |
| 87210 |
|
3,280 |
3,147 |
$15K |
| 59426 |
|
15 |
15 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
507 |
478 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
136 |
128 |
$10K |
| 81513 |
|
157 |
142 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
124 |
92 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
90 |
36 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
186 |
172 |
$8K |
| 81002 |
|
2,497 |
2,334 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
265 |
258 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
507 |
478 |
$6K |
| 99385 |
|
65 |
65 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
476 |
450 |
$5K |
| 87481 |
|
156 |
141 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
42 |
$5K |
| 58300 |
|
43 |
43 |
$4K |
| 76818 |
|
34 |
28 |
$4K |
| 58301 |
|
41 |
40 |
$4K |
| 77065 |
Tomosynthesis, mammo |
31 |
26 |
$3K |
| 54150 |
|
39 |
25 |
$3K |
| 90715 |
|
74 |
73 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
271 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
43 |
$2K |
| 99386 |
|
15 |
15 |
$2K |
| 87563 |
|
114 |
102 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$1K |
| 90686 |
|
52 |
52 |
$998.62 |
| 11981 |
|
12 |
12 |
$985.12 |
| 85018 |
|
284 |
264 |
$648.76 |
| G9001 |
Coordinated care fee, initial rate |
15 |
15 |
$375.00 |
| 0503F |
|
151 |
143 |
$135.00 |
| 83986 |
|
189 |
186 |
$132.07 |
| 0500F |
|
51 |
50 |
$100.00 |
| 81003 |
|
54 |
52 |
$95.78 |
| 0501F |
|
65 |
64 |
$90.00 |
| 82950 |
|
15 |
15 |
$59.04 |
| 81000 |
|
12 |
12 |
$41.95 |