| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,948 |
25,348 |
$1.22M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
569 |
544 |
$336K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,572 |
3,131 |
$260K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,909 |
6,040 |
$205K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,920 |
6,044 |
$205K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,143 |
2,700 |
$172K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,046 |
1,917 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,573 |
2,140 |
$133K |
| 59430 |
|
1,495 |
1,396 |
$105K |
| 76801 |
|
1,385 |
1,248 |
$90K |
| 0502F |
|
10,608 |
8,317 |
$64K |
| 80305 |
|
6,742 |
5,382 |
$57K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
914 |
629 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,734 |
5,932 |
$41K |
| 59514 |
|
64 |
61 |
$38K |
| 87660 |
|
1,652 |
1,434 |
$24K |
| 87480 |
|
1,653 |
1,431 |
$24K |
| 87510 |
|
1,643 |
1,421 |
$23K |
| 84703 |
|
3,734 |
2,943 |
$18K |
| 86703 |
|
1,987 |
1,817 |
$16K |
| 59025 |
Fetal non-stress test |
1,313 |
1,161 |
$15K |
| 82950 |
|
3,776 |
3,383 |
$14K |
| 86803 |
|
1,189 |
1,083 |
$12K |
| 86762 |
|
1,108 |
1,010 |
$12K |
| 87340 |
|
1,115 |
1,011 |
$9K |
| 54150 |
|
42 |
42 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
157 |
142 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
145 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
54 |
$3K |
| 81001 |
|
3,043 |
2,512 |
$2K |
| 99218 |
|
50 |
46 |
$2K |
| 85027 |
|
391 |
348 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 0500F |
|
692 |
630 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 81003 |
|
139 |
127 |
$188.40 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
54 |
$79.12 |
| 0503F |
|
650 |
563 |
$60.00 |