| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
5,947 |
4,363 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,491 |
3,497 |
$212K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
214 |
169 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,267 |
1,000 |
$93K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
831 |
722 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
679 |
510 |
$51K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,097 |
850 |
$45K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
999 |
805 |
$43K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
979 |
795 |
$42K |
| 87481 |
|
514 |
353 |
$34K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,178 |
929 |
$32K |
| 76830 |
Ultrasound, transvaginal |
515 |
373 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
495 |
426 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
406 |
362 |
$25K |
| 76801 |
|
351 |
288 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
322 |
288 |
$19K |
| 87511 |
|
439 |
333 |
$19K |
| 0503F |
|
322 |
256 |
$19K |
| 0500F |
|
380 |
333 |
$15K |
| 86780 |
|
845 |
730 |
$14K |
| 59025 |
Fetal non-stress test |
652 |
516 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
339 |
281 |
$10K |
| 86803 |
|
583 |
490 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
95 |
$7K |
| 87340 |
|
559 |
475 |
$7K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
220 |
191 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
636 |
520 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
101 |
78 |
$6K |
| 96127 |
|
330 |
272 |
$5K |
| 81025 |
|
1,350 |
1,095 |
$5K |
| 99234 |
|
74 |
70 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
768 |
672 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
69 |
53 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
62 |
62 |
$2K |
| 86762 |
|
234 |
190 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
125 |
112 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
26 |
$1K |
| 84702 |
|
142 |
115 |
$1K |
| 99459 |
|
70 |
66 |
$1K |
| 54150 |
|
13 |
13 |
$1K |
| 82950 |
|
189 |
176 |
$867.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
140 |
123 |
$863.42 |
| 80053 |
Comprehensive metabolic panel |
87 |
78 |
$861.79 |
| 84439 |
|
85 |
79 |
$722.70 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$590.92 |
| 96160 |
|
39 |
27 |
$533.05 |
| 82570 |
|
60 |
48 |
$275.46 |
| 83001 |
|
14 |
12 |
$254.52 |
| 84550 |
|
45 |
40 |
$190.06 |
| 84156 |
|
57 |
46 |
$126.54 |
| 87210 |
|
24 |
14 |
$94.47 |