| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,657 |
20,596 |
$850K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,349 |
2,303 |
$250K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,599 |
2,578 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,675 |
2,513 |
$206K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
93 |
91 |
$153K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,066 |
1,057 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
930 |
882 |
$89K |
| 76818 |
|
735 |
318 |
$75K |
| 76830 |
Ultrasound, transvaginal |
700 |
686 |
$72K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,561 |
1,515 |
$50K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
782 |
768 |
$48K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
401 |
392 |
$35K |
| 59426 |
|
42 |
37 |
$31K |
| 81025 |
|
4,372 |
4,193 |
$30K |
| 76801 |
|
285 |
271 |
$30K |
| 99385 |
|
287 |
285 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,536 |
1,466 |
$24K |
| 59025 |
Fetal non-stress test |
446 |
252 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
179 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
165 |
153 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
92 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
162 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
736 |
666 |
$5K |
| 59430 |
|
12 |
12 |
$3K |
| 58300 |
|
28 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
25 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
139 |
137 |
$2K |
| 81002 |
|
693 |
677 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
301 |
271 |
$2K |
| 99000 |
|
1,767 |
1,640 |
$1K |