| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,873 |
5,070 |
$550K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,492 |
2,265 |
$230K |
| 76830 |
Ultrasound, transvaginal |
1,493 |
1,181 |
$152K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,657 |
1,632 |
$144K |
| 99236 |
Prolong inpt eval add15 m |
679 |
478 |
$128K |
| 59025 |
Fetal non-stress test |
3,619 |
1,330 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,007 |
964 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,277 |
1,145 |
$47K |
| 81025 |
|
4,518 |
3,798 |
$35K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
29 |
$35K |
| 81002 |
|
9,198 |
4,496 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,477 |
1,436 |
$27K |
| 82120 |
|
3,921 |
3,558 |
$19K |
| 87210 |
|
3,444 |
3,107 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
202 |
112 |
$16K |
| 83986 |
|
3,918 |
3,555 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
189 |
135 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,024 |
1,590 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
68 |
67 |
$8K |
| 85018 |
|
1,992 |
1,733 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,665 |
1,501 |
$4K |
| 87220 |
|
791 |
641 |
$3K |
| Q0112 |
All potassium hydroxide (koh) preparations |
288 |
275 |
$1K |
| 90658 |
|
91 |
88 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
116 |
106 |
$711.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
86 |
$665.57 |
| 90674 |
|
14 |
13 |
$296.78 |
| 82950 |
|
28 |
27 |
$172.55 |
| 82947 |
|
27 |
26 |
$100.39 |
| 94760 |
|
21 |
17 |
$0.00 |