| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,423 |
4,579 |
$385K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
321 |
243 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,677 |
2,021 |
$151K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
982 |
888 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
682 |
582 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
385 |
253 |
$36K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
528 |
432 |
$35K |
| 76801 |
|
489 |
452 |
$33K |
| 0503F |
|
333 |
239 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
217 |
179 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
323 |
304 |
$17K |
| 76830 |
Ultrasound, transvaginal |
245 |
198 |
$15K |
| 0500F |
|
185 |
150 |
$11K |
| 59430 |
|
118 |
100 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
198 |
155 |
$9K |
| 86780 |
|
529 |
429 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
180 |
137 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
198 |
155 |
$9K |
| 86803 |
|
295 |
226 |
$5K |
| 99234 |
|
54 |
41 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
538 |
432 |
$3K |
| 96127 |
|
197 |
143 |
$3K |
| 96160 |
|
196 |
146 |
$3K |
| 87340 |
|
215 |
168 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
31 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
30 |
$2K |
| 86762 |
|
211 |
153 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
48 |
40 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
218 |
171 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
24 |
12 |
$989.78 |
| 82950 |
|
171 |
167 |
$789.12 |
| 90674 |
|
31 |
17 |
$758.22 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
13 |
$587.36 |
| 81025 |
|
51 |
42 |
$262.43 |
| 85018 |
|
74 |
74 |
$171.68 |
| 85014 |
|
73 |
73 |
$169.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$141.68 |
| 81001 |
|
24 |
24 |
$68.64 |