| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,969 |
5,336 |
$392K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,681 |
6,673 |
$339K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,841 |
2,803 |
$235K |
| 76830 |
Ultrasound, transvaginal |
3,067 |
2,907 |
$228K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,830 |
1,726 |
$121K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,026 |
1,023 |
$71K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
560 |
559 |
$40K |
| 59025 |
Fetal non-stress test |
1,051 |
541 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
474 |
414 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
390 |
334 |
$26K |
| 81002 |
|
13,048 |
11,544 |
$9K |
| 81025 |
|
1,925 |
1,827 |
$5K |
| 59051 |
|
289 |
238 |
$3K |
| 99385 |
|
32 |
32 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
192 |
$2K |
| 76857 |
|
24 |
24 |
$1K |
| 57454 |
|
13 |
12 |
$1K |
| 99386 |
|
13 |
13 |
$847.17 |
| 87210 |
|
319 |
316 |
$784.58 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
36 |
$420.29 |
| 83986 |
|
13 |
13 |
$35.30 |
| 0502F |
|
5,260 |
3,023 |
$0.00 |
| 3015F |
|
891 |
880 |
$0.00 |
| 87270 |
|
64 |
63 |
$0.00 |
| 0500F |
|
310 |
305 |
$0.00 |
| 0503F |
|
54 |
49 |
$0.00 |