| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,723 |
11,077 |
$1.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,544 |
4,705 |
$726K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,276 |
4,066 |
$380K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,400 |
2,183 |
$369K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,934 |
1,653 |
$282K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,943 |
1,559 |
$269K |
| 59840 |
|
365 |
365 |
$237K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,927 |
7,785 |
$229K |
| S0190 |
Mifepristone, oral, 200 mg |
2,595 |
2,584 |
$136K |
| 81025 |
|
17,137 |
15,575 |
$131K |
| 99201 |
|
1,264 |
576 |
$104K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,916 |
7,794 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
564 |
564 |
$95K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,333 |
2,242 |
$62K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,809 |
4,299 |
$56K |
| 96127 |
|
17,938 |
16,756 |
$53K |
| 86703 |
|
2,900 |
2,582 |
$52K |
| 76830 |
Ultrasound, transvaginal |
351 |
325 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
271 |
268 |
$27K |
| 59841 |
|
38 |
38 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
4,167 |
4,083 |
$13K |
| S0191 |
Misoprostol, oral, 200 mcg |
2,662 |
2,633 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
271 |
270 |
$5K |
| 88141 |
|
220 |
220 |
$5K |
| 80053 |
Comprehensive metabolic panel |
179 |
176 |
$4K |
| 86701 |
|
512 |
512 |
$4K |
| 99051 |
|
388 |
378 |
$3K |
| 58300 |
|
25 |
25 |
$3K |
| 86901 |
|
85 |
84 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,367 |
1,361 |
$2K |
| 88142 |
|
85 |
85 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
136 |
136 |
$2K |
| J2788 |
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) |
80 |
80 |
$2K |
| 87210 |
|
1,356 |
1,323 |
$2K |
| 85018 |
|
1,751 |
1,676 |
$2K |
| 86803 |
|
996 |
991 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$367.39 |
| 90385 |
|
25 |
25 |
$364.52 |
| 86780 |
|
2,197 |
2,183 |
$359.85 |
| 85027 |
|
226 |
225 |
$246.70 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$235.72 |
| 84403 |
|
67 |
67 |
$185.85 |
| 86592 |
|
177 |
174 |
$41.11 |
| 81002 |
|
52 |
52 |
$13.90 |
| S5000 |
Prescription drug, generic |
138 |
137 |
$7.00 |
| 83986 |
|
814 |
797 |
$6.74 |
| S5001 |
Prescription drug, brand name |
86 |
86 |
$1.75 |
| 87340 |
|
12 |
12 |
$0.00 |