| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
5,953 |
2,483 |
$446K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,042 |
1,872 |
$202K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
232 |
230 |
$157K |
| 99205 |
Prolong outpt/office vis |
788 |
777 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,614 |
2,423 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
528 |
528 |
$57K |
| 76818 |
|
642 |
216 |
$54K |
| 80050 |
General health panel |
1,144 |
1,116 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
526 |
506 |
$45K |
| 76830 |
Ultrasound, transvaginal |
581 |
570 |
$41K |
| 59430 |
|
371 |
361 |
$28K |
| 83970 |
|
856 |
846 |
$24K |
| Z1034 |
|
421 |
277 |
$23K |
| 84481 |
|
1,383 |
1,351 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
180 |
171 |
$12K |
| 86003 |
|
75 |
54 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
145 |
$11K |
| 84144 |
|
618 |
591 |
$9K |
| 59514 |
|
14 |
12 |
$9K |
| 84439 |
|
1,376 |
1,350 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,216 |
1,199 |
$8K |
| 57720 |
|
38 |
38 |
$7K |
| 80061 |
Lipid panel |
697 |
691 |
$7K |
| 84403 |
|
339 |
323 |
$6K |
| 82670 |
|
294 |
289 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
148 |
$5K |
| 87480 |
|
310 |
300 |
$4K |
| 87510 |
|
308 |
296 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
292 |
260 |
$4K |
| 87660 |
|
305 |
296 |
$4K |
| 99385 |
|
29 |
29 |
$4K |
| 90673 |
|
67 |
63 |
$4K |
| 87210 |
|
1,263 |
1,241 |
$3K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
134 |
132 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
213 |
212 |
$2K |
| 76801 |
|
30 |
29 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
43 |
41 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
14 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
44 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
250 |
246 |
$2K |
| 81025 |
|
720 |
687 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| Z1032 |
|
13 |
13 |
$2K |
| 83001 |
|
104 |
101 |
$1K |
| 83002 |
|
100 |
97 |
$1K |
| 80053 |
Comprehensive metabolic panel |
163 |
160 |
$1K |
| 99221 |
|
23 |
23 |
$994.04 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$801.00 |
| 81002 |
|
275 |
259 |
$469.56 |
| 96150 |
|
26 |
24 |
$358.00 |
| H1000 |
Prenatal care, at-risk assessment |
26 |
25 |
$342.99 |
| 97802 |
|
22 |
20 |
$269.13 |
| 96151 |
|
16 |
16 |
$243.89 |
| 97803 |
|
16 |
16 |
$243.89 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$193.43 |
| 84702 |
|
17 |
12 |
$180.03 |
| 85730 |
|
14 |
14 |
$60.20 |
| 85610 |
|
14 |
14 |
$39.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$0.00 |