| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,435 |
2,719 |
$349K |
| 59025 |
Fetal non-stress test |
5,822 |
1,242 |
$194K |
| 0502F |
|
2,987 |
1,582 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,756 |
1,062 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,001 |
1,187 |
$142K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,671 |
1,073 |
$116K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,113 |
838 |
$110K |
| 76818 |
|
1,308 |
565 |
$90K |
| 76830 |
Ultrasound, transvaginal |
564 |
540 |
$42K |
| 76801 |
|
369 |
252 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
171 |
155 |
$14K |
| 81025 |
|
2,707 |
2,113 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,074 |
354 |
$13K |
| 0503F |
|
117 |
91 |
$12K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
123 |
$10K |
| 87510 |
|
459 |
307 |
$10K |
| 87480 |
|
459 |
307 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
111 |
93 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
82 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
224 |
176 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
223 |
175 |
$6K |
| 87660 |
|
475 |
323 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
153 |
98 |
$6K |
| 81002 |
|
2,145 |
1,358 |
$5K |
| 0500F |
|
75 |
69 |
$5K |
| 59430 |
|
33 |
26 |
$4K |
| 76813 |
|
29 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
32 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
170 |
121 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
29 |
$1K |
| 90756 |
|
24 |
23 |
$721.84 |
| 90715 |
|
18 |
17 |
$687.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
14 |
$523.53 |
| 81003 |
|
91 |
69 |
$198.58 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$74.88 |
| 36415 |
Collection of venous blood by venipuncture |
266 |
196 |
$12.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |