| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,760 |
15,244 |
$840K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,340 |
1,326 |
$789K |
| J7301 |
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
772 |
766 |
$664K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,739 |
3,865 |
$412K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,419 |
3,822 |
$360K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,557 |
3,076 |
$233K |
| 59514 |
|
351 |
338 |
$230K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,740 |
2,722 |
$192K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,973 |
1,893 |
$185K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,362 |
1,358 |
$180K |
| 99223 |
Prolong inpt eval add15 m |
1,650 |
1,606 |
$179K |
| 76801 |
|
1,614 |
1,387 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,781 |
3,972 |
$106K |
| 99385 |
|
1,337 |
1,317 |
$106K |
| 59430 |
|
1,086 |
1,070 |
$92K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,641 |
1,596 |
$83K |
| 58300 |
|
796 |
790 |
$76K |
| 76857 |
|
1,856 |
1,699 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
865 |
851 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,067 |
657 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
850 |
825 |
$35K |
| 58301 |
|
336 |
333 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,910 |
2,118 |
$30K |
| 90674 |
|
888 |
879 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,849 |
1,822 |
$20K |
| 81025 |
|
2,661 |
2,622 |
$19K |
| 90656 |
|
946 |
930 |
$15K |
| 57454 |
|
64 |
63 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
66 |
$3K |
| 57511 |
|
28 |
26 |
$3K |
| 81002 |
|
767 |
705 |
$2K |
| 85018 |
|
594 |
567 |
$1K |
| 99000 |
|
111 |
107 |
$544.98 |
| 99024 |
|
827 |
781 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
53 |
31 |
$0.00 |