| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,975 |
15,288 |
$1.14M |
| 76830 |
Ultrasound, transvaginal |
9,768 |
7,682 |
$719K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,952 |
1,876 |
$190K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,838 |
1,467 |
$158K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
308 |
211 |
$140K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,100 |
1,655 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,560 |
2,280 |
$116K |
| 59025 |
Fetal non-stress test |
2,594 |
1,561 |
$64K |
| 99199 |
Unlisted special service, procedure or report |
15,693 |
14,572 |
$54K |
| 87210 |
|
12,521 |
9,604 |
$49K |
| 99219 |
|
617 |
342 |
$48K |
| 82120 |
|
12,524 |
9,595 |
$47K |
| 83986 |
|
12,481 |
9,597 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
471 |
366 |
$39K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
918 |
766 |
$32K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
506 |
428 |
$30K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
217 |
187 |
$25K |
| 81002 |
|
8,237 |
4,911 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
194 |
$18K |
| 81025 |
|
2,786 |
2,280 |
$18K |
| 76818 |
|
165 |
153 |
$14K |
| 59430 |
|
101 |
94 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
207 |
180 |
$11K |
| 80305 |
|
765 |
647 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
443 |
395 |
$6K |
| 57452 |
|
29 |
27 |
$2K |
| 99401 |
|
20 |
14 |
$256.10 |