| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,729 |
6,146 |
$494K |
| 59426 |
|
4,703 |
2,357 |
$343K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,372 |
1,114 |
$85K |
| 59425 |
|
684 |
515 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
826 |
$43K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,823 |
1,516 |
$41K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,807 |
1,497 |
$40K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
30 |
26 |
$21K |
| 99215 |
Prolong outpt/office vis |
174 |
133 |
$18K |
| 87660 |
|
678 |
570 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
538 |
436 |
$9K |
| 87510 |
|
676 |
570 |
$8K |
| 87480 |
|
677 |
569 |
$8K |
| 81025 |
|
1,527 |
1,269 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
27 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
53 |
26 |
$2K |
| 99234 |
|
18 |
12 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
12 |
$1K |
| 80305 |
|
83 |
74 |
$684.30 |
| 81002 |
|
556 |
467 |
$630.78 |
| 90715 |
|
13 |
13 |
$339.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$214.13 |
| 90686 |
|
14 |
12 |
$178.97 |
| 99459 |
|
47 |
38 |
$160.00 |
| 87210 |
|
67 |
59 |
$48.32 |