| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,877 |
18,603 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,404 |
3,974 |
$306K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,806 |
1,695 |
$136K |
| 59025 |
Fetal non-stress test |
4,103 |
3,140 |
$122K |
| 76830 |
Ultrasound, transvaginal |
1,070 |
983 |
$106K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
565 |
479 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
528 |
452 |
$37K |
| 99459 |
|
2,296 |
1,994 |
$28K |
| 99385 |
|
243 |
210 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
176 |
164 |
$18K |
| 99000 |
|
13,017 |
10,856 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
181 |
157 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,920 |
4,187 |
$10K |
| 81025 |
|
1,507 |
1,385 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
144 |
104 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
79 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
198 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
694 |
620 |
$7K |
| 87210 |
|
1,819 |
1,680 |
$7K |
| 81003 |
|
3,148 |
2,922 |
$6K |
| 87806 |
|
223 |
212 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
79 |
59 |
$5K |
| 96160 |
|
2,124 |
1,960 |
$3K |
| 90715 |
|
91 |
83 |
$3K |
| 90686 |
|
121 |
114 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
276 |
$2K |
| 99386 |
|
26 |
19 |
$2K |
| 58300 |
|
14 |
12 |
$1K |
| 58301 |
|
15 |
13 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
77 |
58 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$969.71 |
| 82950 |
|
177 |
158 |
$469.84 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$463.40 |
| 85018 |
|
251 |
229 |
$448.24 |
| 99401 |
|
14 |
13 |
$146.85 |