| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,033 |
3,445 |
$198K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,684 |
989 |
$129K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,544 |
1,314 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
965 |
867 |
$73K |
| 59510 |
|
39 |
28 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,359 |
1,066 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
694 |
618 |
$35K |
| 81003 |
|
12,825 |
9,179 |
$29K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$24K |
| 99215 |
Prolong outpt/office vis |
196 |
175 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
181 |
$19K |
| 81025 |
|
1,518 |
1,326 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
60 |
$9K |
| 76801 |
|
145 |
115 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
70 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
75 |
56 |
$3K |
| 76820 |
|
55 |
38 |
$3K |
| 85018 |
|
1,074 |
929 |
$3K |
| 59025 |
Fetal non-stress test |
85 |
78 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$2K |
| 76830 |
Ultrasound, transvaginal |
30 |
28 |
$2K |
| 87210 |
|
318 |
258 |
$1K |
| 96156 |
|
15 |
13 |
$1K |
| 99401 |
|
78 |
68 |
$714.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
28 |
$448.59 |
| 96127 |
|
60 |
60 |
$212.59 |
| 81002 |
|
67 |
51 |
$192.30 |
| 96160 |
|
98 |
94 |
$97.17 |