| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,078 |
8,620 |
$505K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,001 |
1,724 |
$113K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,641 |
1,599 |
$105K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,490 |
2,216 |
$85K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,478 |
2,213 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,217 |
1,069 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
945 |
879 |
$63K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,197 |
961 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
782 |
672 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
474 |
426 |
$34K |
| 87660 |
|
1,915 |
1,665 |
$34K |
| 87510 |
|
1,994 |
1,669 |
$32K |
| 87480 |
|
1,993 |
1,667 |
$32K |
| 80050 |
General health panel |
591 |
558 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
667 |
$17K |
| 76801 |
|
203 |
191 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,322 |
2,082 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$15K |
| 59430 |
|
143 |
133 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,079 |
955 |
$11K |
| 59514 |
|
28 |
27 |
$11K |
| 81025 |
|
1,953 |
1,715 |
$10K |
| 76813 |
|
107 |
105 |
$8K |
| 80061 |
Lipid panel |
655 |
559 |
$6K |
| 84702 |
|
490 |
367 |
$6K |
| 76830 |
Ultrasound, transvaginal |
81 |
79 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
582 |
501 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
121 |
113 |
$3K |
| 59025 |
Fetal non-stress test |
155 |
99 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$690.02 |
| 84144 |
|
63 |
28 |
$596.76 |
| 81002 |
|
132 |
102 |
$231.77 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
20 |
20 |
$0.00 |