| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,580 |
8,437 |
$554K |
| 76830 |
Ultrasound, transvaginal |
3,214 |
3,161 |
$292K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,222 |
3,175 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,673 |
2,529 |
$217K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,330 |
2,037 |
$205K |
| 81513 |
|
1,539 |
1,526 |
$193K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,425 |
2,209 |
$150K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,614 |
1,613 |
$127K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,706 |
3,674 |
$102K |
| 99401 |
|
4,828 |
4,492 |
$99K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,322 |
1,195 |
$90K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,752 |
3,726 |
$86K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,753 |
3,727 |
$78K |
| 59410 |
|
76 |
76 |
$69K |
| 76801 |
|
1,081 |
903 |
$66K |
| 87563 |
|
1,967 |
1,949 |
$59K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,752 |
1,751 |
$51K |
| 81025 |
|
8,085 |
7,788 |
$39K |
| 87481 |
|
2,014 |
1,998 |
$37K |
| 81007 |
|
15,357 |
13,310 |
$33K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
634 |
631 |
$31K |
| 76818 |
|
377 |
263 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
319 |
319 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
411 |
359 |
$26K |
| 99215 |
Prolong outpt/office vis |
299 |
291 |
$25K |
| 99385 |
|
282 |
282 |
$25K |
| 81002 |
|
11,910 |
10,344 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
188 |
188 |
$16K |
| 59430 |
|
51 |
51 |
$12K |
| 87480 |
|
593 |
586 |
$8K |
| 87510 |
|
577 |
570 |
$8K |
| 87081 |
|
1,979 |
1,952 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$6K |
| 76376 |
|
719 |
703 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
73 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
13 |
$2K |
| 57454 |
|
15 |
15 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,511 |
4,200 |
$1K |
| 87625 |
|
24 |
24 |
$973.20 |
| 59025 |
Fetal non-stress test |
45 |
39 |
$830.77 |
| 96160 |
|
102 |
90 |
$264.85 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
15 |
$37.63 |
| 99000 |
|
426 |
423 |
$0.00 |