| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,538 |
8,288 |
$578K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,930 |
1,695 |
$104K |
| 76830 |
Ultrasound, transvaginal |
1,059 |
832 |
$63K |
| 81025 |
|
11,028 |
6,982 |
$49K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,832 |
1,288 |
$48K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,831 |
1,288 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
633 |
499 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,237 |
1,900 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
626 |
460 |
$30K |
| 59430 |
|
232 |
168 |
$16K |
| 80305 |
|
1,933 |
1,101 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
172 |
146 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
221 |
193 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
110 |
92 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
125 |
76 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
36 |
$2K |
| 99219 |
|
19 |
15 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$803.33 |