| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,845 |
9,899 |
$511K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,307 |
12,707 |
$440K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
681 |
620 |
$383K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,432 |
2,329 |
$327K |
| 59514 |
|
476 |
427 |
$266K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,070 |
1,909 |
$170K |
| 76801 |
|
2,404 |
2,026 |
$170K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,246 |
1,893 |
$134K |
| 59430 |
|
1,448 |
1,369 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,103 |
1,848 |
$111K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,216 |
1,173 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
989 |
925 |
$58K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
695 |
656 |
$44K |
| 76820 |
|
506 |
246 |
$22K |
| 81025 |
|
3,885 |
3,146 |
$18K |
| 99385 |
|
219 |
195 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
512 |
480 |
$6K |
| 54150 |
|
44 |
40 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
103 |
72 |
$5K |
| 57454 |
|
50 |
49 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
102 |
82 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
202 |
196 |
$4K |
| 59025 |
Fetal non-stress test |
142 |
129 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
27 |
$1K |
| 99386 |
|
12 |
12 |
$989.67 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$949.39 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$947.31 |