| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,233 |
4,519 |
$163K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,797 |
1,772 |
$85K |
| 76830 |
Ultrasound, transvaginal |
1,594 |
1,556 |
$57K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
517 |
500 |
$42K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,127 |
762 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
848 |
832 |
$33K |
| 99215 |
Prolong outpt/office vis |
370 |
344 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
313 |
309 |
$19K |
| 76857 |
|
758 |
741 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
407 |
361 |
$14K |
| 59514 |
|
75 |
75 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
225 |
225 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
63 |
63 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
139 |
$6K |
| 88150 |
|
998 |
993 |
$4K |
| 81003 |
|
999 |
806 |
$4K |
| 99385 |
|
79 |
79 |
$3K |
| 81025 |
|
552 |
530 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
205 |
$3K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
15 |
14 |
$2K |
| 81002 |
|
1,721 |
1,479 |
$2K |
| 99386 |
|
77 |
77 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
21 |
$683.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$578.24 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
129 |
128 |
$563.55 |
| 58100 |
|
13 |
12 |
$431.90 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
16 |
15 |
$395.65 |
| 36410 |
|
29 |
29 |
$235.44 |
| 99000 |
|
12 |
12 |
$14.52 |