| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,009 |
3,510 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,651 |
3,131 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,196 |
1,098 |
$162K |
| 76830 |
Ultrasound, transvaginal |
577 |
509 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
700 |
602 |
$40K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
576 |
523 |
$38K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
25 |
25 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
295 |
272 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
305 |
266 |
$23K |
| 81025 |
|
2,573 |
2,300 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
159 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
815 |
726 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,596 |
1,432 |
$4K |
| 76813 |
|
24 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
106 |
$2K |
| 99000 |
|
1,027 |
897 |
$1K |
| 87210 |
|
224 |
214 |
$1K |
| 81002 |
|
214 |
183 |
$488.84 |
| 90688 |
|
15 |
14 |
$251.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$250.51 |
| 0502F |
|
322 |
91 |
$0.00 |