| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,883 |
13,622 |
$531K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,272 |
2,987 |
$160K |
| 87428 |
|
2,243 |
2,098 |
$130K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
166 |
156 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,203 |
1,138 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,681 |
2,182 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,442 |
1,321 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,920 |
3,649 |
$49K |
| T1015 |
Clinic visit/encounter, all-inclusive |
451 |
411 |
$49K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
259 |
249 |
$21K |
| 81003 |
|
10,874 |
8,206 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
485 |
443 |
$17K |
| 59430 |
|
206 |
187 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
211 |
204 |
$13K |
| 81025 |
|
1,770 |
1,672 |
$12K |
| 99460 |
|
136 |
131 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
509 |
404 |
$5K |
| 99462 |
|
178 |
137 |
$5K |
| 87210 |
|
819 |
788 |
$3K |
| 87807 |
|
332 |
300 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
289 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
96 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
54 |
$2K |
| 99072 |
|
3,517 |
2,820 |
$2K |
| 76818 |
|
25 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$1K |
| 69210 |
|
36 |
24 |
$940.40 |
| 99000 |
|
86 |
83 |
$750.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
119 |
$700.12 |
| 82950 |
|
157 |
133 |
$568.83 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
56 |
$449.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$204.06 |
| 96160 |
|
191 |
150 |
$41.99 |
| 90686 |
|
36 |
36 |
$0.01 |
| 3078F |
|
8,848 |
7,597 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
27 |
26 |
$0.00 |
| 3077F |
|
48 |
42 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 0502F |
|
22 |
12 |
$0.00 |
| 1036F |
|
10,858 |
8,784 |
$0.00 |
| 3074F |
|
10,739 |
9,095 |
$0.00 |
| 3079F |
|
1,876 |
1,631 |
$0.00 |
| 3008F |
|
14,336 |
12,017 |
$0.00 |
| 1126F |
|
7,364 |
6,356 |
$0.00 |
| 1125F |
|
1,170 |
1,065 |
$0.00 |
| 96127 |
|
327 |
303 |
$0.00 |
| 3075F |
|
450 |
393 |
$0.00 |
| 3080F |
|
49 |
41 |
$0.00 |
| 1034F |
|
243 |
178 |
$0.00 |