| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,301 |
2,395 |
$194K |
| 93976 |
|
1,920 |
782 |
$165K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,972 |
3,975 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
1,665 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,344 |
1,108 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,037 |
954 |
$80K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,050 |
985 |
$78K |
| 76820 |
|
1,953 |
789 |
$60K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,795 |
1,438 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
406 |
334 |
$40K |
| 76830 |
Ultrasound, transvaginal |
981 |
897 |
$39K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
703 |
466 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,376 |
1,051 |
$34K |
| 0503F |
|
988 |
632 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
560 |
517 |
$25K |
| 87481 |
|
558 |
466 |
$24K |
| 76801 |
|
644 |
599 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
395 |
360 |
$20K |
| 59430 |
|
440 |
263 |
$17K |
| 81025 |
|
2,746 |
2,237 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
295 |
275 |
$11K |
| 59025 |
Fetal non-stress test |
420 |
300 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
588 |
532 |
$8K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
628 |
523 |
$6K |
| 0500F |
|
1,203 |
899 |
$6K |
| 99385 |
|
74 |
66 |
$6K |
| 87511 |
|
557 |
465 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
628 |
522 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
631 |
524 |
$6K |
| 87653 |
|
400 |
329 |
$4K |
| 96160 |
|
244 |
158 |
$3K |
| 99459 |
|
165 |
138 |
$2K |
| 87563 |
|
212 |
175 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
80 |
$1K |
| 81005 |
|
602 |
526 |
$1K |
| 0501F |
|
445 |
370 |
$0.00 |
| 0502F |
|
4,463 |
2,659 |
$0.00 |