| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,586 |
2,339 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,658 |
2,549 |
$196K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
99 |
93 |
$183K |
| 76830 |
Ultrasound, transvaginal |
1,905 |
1,890 |
$147K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
996 |
996 |
$123K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,364 |
1,148 |
$106K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
720 |
613 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,245 |
1,218 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
531 |
531 |
$57K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,787 |
1,778 |
$50K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,055 |
2,046 |
$48K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,034 |
2,025 |
$47K |
| 87660 |
|
3,327 |
3,297 |
$47K |
| 87480 |
|
3,036 |
3,006 |
$43K |
| 87510 |
|
3,014 |
2,984 |
$42K |
| 59025 |
Fetal non-stress test |
731 |
477 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
731 |
726 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,026 |
1,015 |
$10K |
| 84481 |
|
996 |
984 |
$10K |
| 80305 |
|
1,239 |
1,028 |
$8K |
| 96127 |
|
1,886 |
1,876 |
$8K |
| 84439 |
|
872 |
861 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
89 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
187 |
183 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87653 |
|
57 |
56 |
$1K |
| 90658 |
|
46 |
46 |
$828.44 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$515.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$361.89 |
| 99459 |
|
14 |
14 |
$278.46 |
| 84703 |
|
26 |
26 |
$133.96 |
| 36415 |
Collection of venous blood by venipuncture |
568 |
471 |
$98.58 |
| 99000 |
|
17 |
16 |
$0.00 |