| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
16,553 |
8,356 |
$1.44M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13,830 |
9,545 |
$966K |
| 59425 |
|
6,866 |
5,376 |
$577K |
| 59410 |
|
885 |
708 |
$571K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,458 |
4,377 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,577 |
6,179 |
$385K |
| 76830 |
Ultrasound, transvaginal |
4,538 |
3,902 |
$339K |
| 76820 |
|
9,438 |
4,478 |
$293K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,678 |
2,513 |
$215K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,188 |
1,891 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,153 |
1,913 |
$169K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,208 |
5,450 |
$157K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,181 |
5,438 |
$157K |
| 87480 |
|
5,623 |
4,883 |
$83K |
| 87660 |
|
5,614 |
4,875 |
$83K |
| 87510 |
|
5,610 |
4,871 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
406 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
587 |
553 |
$48K |
| 59515 |
|
58 |
38 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
490 |
439 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
924 |
794 |
$24K |
| 87150 |
|
743 |
671 |
$23K |
| 81025 |
|
3,856 |
3,309 |
$23K |
| 80305 |
|
2,306 |
2,035 |
$21K |
| 59025 |
Fetal non-stress test |
977 |
654 |
$19K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
14 |
13 |
$9K |
| 99215 |
Prolong outpt/office vis |
63 |
52 |
$7K |
| 87081 |
|
765 |
692 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
129 |
$1K |
| 58300 |
|
14 |
13 |
$828.41 |
| 76857 |
|
13 |
12 |
$437.14 |
| 99459 |
|
81 |
71 |
$400.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$218.69 |