| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
8,558 |
5,310 |
$421K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
423 |
286 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,188 |
2,556 |
$185K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,248 |
898 |
$84K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
778 |
672 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
498 |
463 |
$32K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
733 |
589 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
711 |
573 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
521 |
484 |
$30K |
| 0503F |
|
521 |
414 |
$29K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
373 |
331 |
$23K |
| 76801 |
|
324 |
284 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
255 |
$20K |
| 0500F |
|
350 |
274 |
$15K |
| 76830 |
Ultrasound, transvaginal |
196 |
186 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
83 |
$9K |
| 86780 |
|
372 |
330 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
89 |
88 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
112 |
77 |
$5K |
| 81025 |
|
1,095 |
842 |
$4K |
| 59430 |
|
30 |
27 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
488 |
424 |
$3K |
| 86803 |
|
141 |
122 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
69 |
57 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
64 |
54 |
$2K |
| 96127 |
|
132 |
94 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
36 |
33 |
$2K |
| 87340 |
|
120 |
109 |
$2K |
| 96160 |
|
74 |
58 |
$1K |
| 76818 |
|
17 |
12 |
$903.46 |
| 86762 |
|
96 |
83 |
$810.79 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
13 |
$731.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$170.00 |
| 82950 |
|
28 |
28 |
$126.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$117.72 |