| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,348 |
2,998 |
$172K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
137 |
134 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,382 |
1,100 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
904 |
755 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
930 |
694 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
822 |
560 |
$32K |
| 76801 |
|
674 |
550 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
807 |
555 |
$31K |
| 76830 |
Ultrasound, transvaginal |
601 |
510 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
465 |
416 |
$22K |
| 87481 |
|
271 |
167 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
177 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
473 |
319 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
242 |
186 |
$13K |
| 59514 |
|
13 |
12 |
$10K |
| 87511 |
|
226 |
155 |
$10K |
| 0500F |
|
225 |
193 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
187 |
114 |
$8K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
135 |
108 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
180 |
$5K |
| 59025 |
Fetal non-stress test |
266 |
180 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
63 |
59 |
$4K |
| 0503F |
|
91 |
73 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
46 |
37 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
176 |
$2K |
| 81025 |
|
576 |
494 |
$1K |
| 81513 |
|
12 |
12 |
$1K |
| 87653 |
|
18 |
14 |
$820.36 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
24 |
$791.30 |
| 86780 |
|
46 |
37 |
$776.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
67 |
$451.72 |
| 86803 |
|
27 |
19 |
$435.64 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$429.90 |
| 87340 |
|
26 |
18 |
$339.03 |
| 96127 |
|
17 |
13 |
$235.10 |
| 86762 |
|
22 |
14 |
$187.28 |