| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,767 |
11,855 |
$591K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
423 |
415 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,462 |
4,031 |
$200K |
| 76830 |
Ultrasound, transvaginal |
1,684 |
1,567 |
$147K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,280 |
3,124 |
$140K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,325 |
1,285 |
$133K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,537 |
771 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,075 |
1,056 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,136 |
1,101 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
856 |
832 |
$46K |
| 59430 |
|
385 |
354 |
$33K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,253 |
1,201 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,251 |
1,200 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
461 |
388 |
$19K |
| 59514 |
|
26 |
25 |
$15K |
| 87660 |
|
1,030 |
982 |
$14K |
| 87480 |
|
1,034 |
982 |
$14K |
| 87510 |
|
1,036 |
986 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
805 |
750 |
$8K |
| 76857 |
|
232 |
223 |
$8K |
| 81025 |
|
1,096 |
1,037 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
73 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
60 |
$5K |
| 81003 |
|
2,397 |
1,609 |
$4K |
| 90686 |
|
199 |
194 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
30 |
$2K |
| 99385 |
|
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
194 |
$2K |
| 99000 |
|
380 |
371 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
19 |
$1K |
| 58300 |
|
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 11981 |
|
12 |
12 |
$989.64 |
| 0353U |
|
89 |
85 |
$0.00 |