| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,589 |
6,040 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,337 |
7,891 |
$390K |
| 58558 |
|
430 |
422 |
$335K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,786 |
6,564 |
$177K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,776 |
6,552 |
$177K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,230 |
1,227 |
$101K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,972 |
1,908 |
$64K |
| 76830 |
Ultrasound, transvaginal |
2,608 |
2,597 |
$59K |
| 87660 |
|
3,641 |
3,547 |
$57K |
| 59025 |
Fetal non-stress test |
1,533 |
693 |
$48K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,108 |
2,102 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,046 |
963 |
$29K |
| 87511 |
|
1,355 |
1,293 |
$29K |
| 87481 |
|
1,314 |
1,257 |
$28K |
| 87480 |
|
1,408 |
1,379 |
$24K |
| 87510 |
|
1,306 |
1,281 |
$22K |
| 81025 |
|
2,935 |
2,801 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
120 |
$13K |
| 99215 |
Prolong outpt/office vis |
95 |
95 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
40 |
$4K |
| 99385 |
|
25 |
25 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
69 |
50 |
$2K |
| 76801 |
|
51 |
50 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
89 |
$2K |
| 83986 |
|
351 |
347 |
$998.20 |
| 81000 |
|
143 |
135 |
$398.99 |