| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,323 |
10,356 |
$357K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,769 |
1,641 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,549 |
1,415 |
$109K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
899 |
882 |
$76K |
| 76830 |
Ultrasound, transvaginal |
821 |
790 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,462 |
1,327 |
$42K |
| 76801 |
|
452 |
417 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
505 |
491 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
417 |
$30K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$23K |
| 81025 |
|
3,944 |
3,479 |
$22K |
| 59025 |
Fetal non-stress test |
615 |
492 |
$21K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
15 |
13 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
130 |
114 |
$9K |
| 59425 |
|
21 |
17 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
462 |
422 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
100 |
74 |
$6K |
| 58300 |
|
85 |
72 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
53 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
32 |
32 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 81002 |
|
1,154 |
1,013 |
$3K |
| 76813 |
|
14 |
14 |
$2K |
| 58301 |
|
14 |
13 |
$1K |
| 87210 |
|
253 |
217 |
$1K |
| 76376 |
|
406 |
364 |
$457.80 |
| 59430 |
|
50 |
41 |
$199.01 |