| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,055 |
16,609 |
$922K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,146 |
3,696 |
$257K |
| 76830 |
Ultrasound, transvaginal |
2,354 |
2,174 |
$169K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,612 |
2,415 |
$167K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,252 |
2,227 |
$132K |
| 99401 |
|
4,092 |
3,842 |
$84K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,945 |
1,530 |
$82K |
| 99234 |
|
1,125 |
940 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,006 |
984 |
$72K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
84 |
84 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
823 |
809 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
434 |
$39K |
| 99402 |
|
491 |
479 |
$21K |
| 76801 |
|
249 |
217 |
$15K |
| 99215 |
Prolong outpt/office vis |
232 |
220 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
444 |
381 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
416 |
402 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
320 |
296 |
$11K |
| 54150 |
|
113 |
113 |
$11K |
| 99385 |
|
164 |
163 |
$10K |
| 99403 |
|
159 |
154 |
$9K |
| 81025 |
|
2,931 |
2,794 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,217 |
1,162 |
$8K |
| 58558 |
|
42 |
38 |
$8K |
| 99235 |
|
78 |
73 |
$7K |
| 99408 |
|
367 |
364 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
195 |
149 |
$6K |
| 59425 |
|
162 |
132 |
$6K |
| 99236 |
Prolong inpt eval add15 m |
65 |
60 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
128 |
94 |
$5K |
| 96160 |
|
2,758 |
2,689 |
$4K |
| 59426 |
|
113 |
71 |
$4K |
| 99404 |
|
58 |
58 |
$3K |
| 99406 |
|
370 |
367 |
$3K |
| 81002 |
|
2,350 |
1,889 |
$2K |
| 59025 |
Fetal non-stress test |
81 |
53 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| 59430 |
|
38 |
38 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
26 |
24 |
$1K |
| 99386 |
|
14 |
14 |
$893.45 |
| 87210 |
|
301 |
296 |
$723.10 |
| 0502F |
|
27 |
24 |
$0.00 |