| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,190 |
9,680 |
$545K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,385 |
1,302 |
$140K |
| 76830 |
Ultrasound, transvaginal |
1,988 |
1,839 |
$140K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,976 |
1,855 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,543 |
1,421 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,096 |
1,016 |
$86K |
| 81025 |
|
8,555 |
7,898 |
$57K |
| 99215 |
Prolong outpt/office vis |
501 |
445 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,832 |
1,643 |
$24K |
| 76801 |
|
333 |
303 |
$23K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
12 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
543 |
466 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
622 |
616 |
$11K |
| 54150 |
|
56 |
51 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
133 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
49 |
$6K |
| 59025 |
Fetal non-stress test |
265 |
244 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
71 |
67 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$3K |
| 81002 |
|
250 |
229 |
$595.41 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$2.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
44 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
55 |
44 |
$0.00 |
| 99000 |
|
33 |
24 |
$0.00 |
| 1036F |
|
53 |
42 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
45 |
37 |
$0.00 |
| A4550 |
Surgical trays |
27 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
50 |
39 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
19 |
18 |
$0.00 |