| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,751 |
16,321 |
$703K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,182 |
6,585 |
$343K |
| 81002 |
|
24,667 |
16,593 |
$64K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
815 |
754 |
$62K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
470 |
446 |
$46K |
| 81025 |
|
5,281 |
4,861 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
502 |
463 |
$29K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
51 |
51 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
300 |
288 |
$20K |
| 59430 |
|
205 |
190 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
259 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
173 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
164 |
157 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
118 |
$9K |
| 76830 |
Ultrasound, transvaginal |
94 |
90 |
$8K |
| 59025 |
Fetal non-stress test |
230 |
119 |
$7K |
| 59514 |
|
13 |
12 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
354 |
335 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
285 |
270 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
56 |
$2K |
| 90674 |
|
67 |
62 |
$1K |
| 90715 |
|
25 |
25 |
$777.73 |
| 90686 |
|
52 |
48 |
$733.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
36 |
$0.00 |