| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,783 |
4,483 |
$237K |
| 59426 |
|
252 |
251 |
$223K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,799 |
1,798 |
$146K |
| 76830 |
Ultrasound, transvaginal |
1,351 |
1,341 |
$97K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,064 |
1,063 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
1,041 |
$76K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
848 |
848 |
$76K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
681 |
677 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
795 |
708 |
$52K |
| 59430 |
|
221 |
221 |
$50K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
62 |
62 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
852 |
784 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,299 |
1,276 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
553 |
$36K |
| 99385 |
|
340 |
340 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,064 |
1,063 |
$33K |
| 81002 |
|
2,674 |
2,633 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
694 |
$7K |
| 81025 |
|
825 |
817 |
$6K |
| 76376 |
|
357 |
355 |
$5K |
| 58300 |
|
61 |
61 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
76 |
$3K |
| 59025 |
Fetal non-stress test |
102 |
44 |
$3K |
| 99386 |
|
13 |
13 |
$2K |
| 54150 |
|
26 |
26 |
$1K |
| 90686 |
|
77 |
77 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
147 |
144 |
$738.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$624.32 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
49 |
49 |
$0.47 |