| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
2,298 |
2,159 |
$1.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,230 |
14,255 |
$714K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,607 |
6,127 |
$433K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,316 |
4,691 |
$360K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,583 |
3,442 |
$279K |
| 76830 |
Ultrasound, transvaginal |
3,703 |
3,543 |
$245K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,852 |
2,196 |
$240K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,065 |
2,946 |
$188K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,545 |
2,880 |
$185K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,253 |
2,177 |
$151K |
| 99000 |
|
11,015 |
9,521 |
$139K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,671 |
4,477 |
$127K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,656 |
4,461 |
$126K |
| 87660 |
|
7,342 |
6,838 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,014 |
3,452 |
$111K |
| 87480 |
|
7,362 |
6,851 |
$110K |
| 87510 |
|
7,355 |
6,850 |
$110K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,747 |
2,297 |
$100K |
| 76801 |
|
1,300 |
1,232 |
$95K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,227 |
2,106 |
$86K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,119 |
3,979 |
$81K |
| 36415 |
Collection of venous blood by venipuncture |
25,455 |
21,659 |
$73K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,668 |
1,163 |
$72K |
| 90715 |
|
3,034 |
2,940 |
$67K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,983 |
1,926 |
$58K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
693 |
673 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,830 |
4,592 |
$52K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,470 |
2,367 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
616 |
592 |
$36K |
| 87150 |
|
1,051 |
1,021 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
489 |
474 |
$33K |
| 59025 |
Fetal non-stress test |
2,291 |
1,399 |
$32K |
| 86780 |
|
3,035 |
2,903 |
$31K |
| 99215 |
Prolong outpt/office vis |
262 |
250 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
215 |
$26K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,572 |
4,211 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,996 |
2,225 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,456 |
1,402 |
$22K |
| 85018 |
|
10,681 |
10,129 |
$19K |
| 59510 |
|
28 |
25 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
542 |
272 |
$18K |
| 81025 |
|
2,533 |
2,384 |
$17K |
| 87340 |
|
2,064 |
1,976 |
$17K |
| 80081 |
|
219 |
214 |
$15K |
| 84702 |
|
1,033 |
687 |
$14K |
| 86762 |
|
1,115 |
1,079 |
$14K |
| 90686 |
|
1,052 |
1,017 |
$14K |
| 82950 |
|
3,580 |
3,465 |
$13K |
| 58300 |
|
280 |
266 |
$13K |
| 36416 |
|
4,932 |
4,661 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
173 |
163 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,986 |
1,860 |
$12K |
| 86803 |
|
846 |
812 |
$10K |
| 86850 |
|
1,251 |
1,203 |
$10K |
| 81002 |
|
4,323 |
4,003 |
$9K |
| 59425 |
|
20 |
20 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
810 |
788 |
$7K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$7K |
| 59514 |
|
28 |
24 |
$7K |
| 59430 |
|
1,060 |
1,003 |
$5K |
| 87081 |
|
1,010 |
976 |
$4K |
| 97802 |
|
43 |
42 |
$3K |
| 86900 |
|
1,238 |
1,188 |
$3K |
| 86901 |
|
1,227 |
1,178 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
86 |
78 |
$3K |
| 81003 |
|
1,393 |
1,314 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
28 |
26 |
$2K |
| 85027 |
|
308 |
276 |
$2K |
| 86592 |
|
347 |
342 |
$1K |
| 87077 |
|
203 |
192 |
$1K |
| 82951 |
|
112 |
108 |
$1K |
| 97803 |
|
36 |
25 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 90674 |
|
48 |
47 |
$1K |
| 58301 |
|
26 |
24 |
$851.11 |
| 83001 |
|
41 |
40 |
$788.85 |
| 84146 |
|
40 |
37 |
$786.42 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$700.64 |
| 80061 |
Lipid panel |
52 |
51 |
$699.02 |
| 58100 |
|
15 |
12 |
$651.32 |
| 84703 |
|
181 |
168 |
$628.26 |
| 96127 |
|
113 |
90 |
$546.93 |
| 82728 |
|
35 |
35 |
$489.60 |
| 99201 |
|
12 |
12 |
$438.42 |
| 0352U |
|
25 |
25 |
$251.60 |
| 87186 |
|
17 |
15 |
$180.97 |
| 84439 |
|
12 |
12 |
$102.93 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
26 |
24 |
$62.32 |
| 82947 |
|
12 |
12 |
$48.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$25.43 |
| 99024 |
|
20 |
20 |
$0.00 |
| 99459 |
|
12 |
12 |
$0.00 |
| 76818 |
|
45 |
16 |
$0.00 |
| 0353U |
|
14 |
13 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
70 |
65 |
$0.00 |
| 84450 |
|
13 |
12 |
$0.00 |
| 84460 |
|
13 |
12 |
$0.00 |