| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,485 |
1,234 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,850 |
1,698 |
$55K |
| 87510 |
|
855 |
785 |
$17K |
| 87480 |
|
841 |
770 |
$17K |
| 87660 |
|
855 |
785 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
230 |
170 |
$17K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
166 |
137 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
115 |
107 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
106 |
94 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
105 |
93 |
$4K |
| 76830 |
Ultrasound, transvaginal |
54 |
50 |
$3K |
| 90686 |
|
92 |
80 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
26 |
$2K |
| 87481 |
|
190 |
91 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
26 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
55 |
39 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
97 |
92 |
$1K |
| 81025 |
|
157 |
135 |
$969.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
141 |
$617.76 |
| 84702 |
|
17 |
13 |
$363.46 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16 |
12 |
$222.45 |
| 99459 |
|
26 |
26 |
$0.00 |
| 0352U |
|
222 |
205 |
$0.00 |