| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,417 |
10,615 |
$628K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
151 |
151 |
$277K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,053 |
6,995 |
$249K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,050 |
6,992 |
$246K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,589 |
1,580 |
$240K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
6,125 |
6,074 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,059 |
2,002 |
$174K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,307 |
1,301 |
$132K |
| 76801 |
|
745 |
738 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
941 |
905 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,303 |
2,242 |
$84K |
| S9999 |
Sales tax |
4,844 |
4,137 |
$72K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
526 |
400 |
$56K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
458 |
455 |
$44K |
| 80055 |
|
940 |
934 |
$43K |
| 76830 |
Ultrasound, transvaginal |
508 |
501 |
$43K |
| 59025 |
Fetal non-stress test |
1,113 |
905 |
$39K |
| 81025 |
|
4,322 |
4,228 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,666 |
3,630 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
8,278 |
7,922 |
$23K |
| 59425 |
|
55 |
55 |
$21K |
| 87653 |
|
575 |
575 |
$21K |
| 86703 |
|
1,391 |
1,381 |
$18K |
| 59899 |
|
163 |
162 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
151 |
126 |
$15K |
| 80050 |
General health panel |
278 |
276 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
752 |
727 |
$13K |
| 99385 |
|
51 |
51 |
$9K |
| 86592 |
|
2,076 |
2,069 |
$8K |
| 83001 |
|
428 |
424 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
402 |
399 |
$6K |
| 82670 |
|
182 |
182 |
$5K |
| 85660 |
|
816 |
810 |
$4K |
| 82950 |
|
836 |
833 |
$4K |
| 54150 |
|
39 |
39 |
$4K |
| 86803 |
|
263 |
263 |
$4K |
| 84702 |
|
235 |
191 |
$3K |
| 84439 |
|
363 |
354 |
$3K |
| 87210 |
|
600 |
582 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
43 |
$3K |
| 84481 |
|
169 |
168 |
$3K |
| 81003 |
|
1,566 |
1,486 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
217 |
214 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87340 |
|
103 |
103 |
$1K |
| 90756 |
|
35 |
35 |
$934.05 |
| 80053 |
Comprehensive metabolic panel |
83 |
82 |
$885.91 |
| 84144 |
|
43 |
38 |
$811.09 |
| 84436 |
|
107 |
107 |
$696.40 |
| 83986 |
|
211 |
206 |
$674.23 |
| 57150 |
|
14 |
14 |
$609.34 |
| 90686 |
|
27 |
27 |
$512.54 |
| 99201 |
|
14 |
14 |
$500.88 |
| 84403 |
|
12 |
12 |
$313.28 |
| 84146 |
|
16 |
15 |
$295.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$114.74 |
| 87081 |
|
12 |
12 |
$76.19 |
| 99000 |
|
12 |
12 |
$17.54 |