| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,368 |
12,981 |
$802K |
| S8301 |
Infection control supplies, not otherwise specified |
12,906 |
8,719 |
$334K |
| 76830 |
Ultrasound, transvaginal |
2,839 |
2,584 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,882 |
4,175 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,651 |
1,500 |
$130K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
227 |
226 |
$115K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,775 |
1,304 |
$101K |
| 99215 |
Prolong outpt/office vis |
1,495 |
1,233 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,100 |
1,064 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
755 |
742 |
$75K |
| 81002 |
|
26,717 |
18,584 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
988 |
978 |
$64K |
| 81025 |
|
5,425 |
4,899 |
$36K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
410 |
362 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,723 |
1,541 |
$22K |
| 59430 |
|
223 |
207 |
$19K |
| 59025 |
Fetal non-stress test |
540 |
296 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
158 |
81 |
$9K |
| 87210 |
|
2,670 |
1,381 |
$8K |
| E0700 |
Safety equipment, device or accessory, any type |
288 |
201 |
$5K |
| 59514 |
|
12 |
12 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
55 |
$3K |
| 90674 |
|
125 |
125 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
164 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$990.40 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$981.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
81 |
$941.63 |
| 11981 |
|
13 |
12 |
$807.04 |
| 58100 |
|
13 |
13 |
$700.02 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$667.25 |
| 0502F |
|
471 |
294 |
$0.00 |
| 99072 |
|
195 |
167 |
$0.00 |
| 99070 |
|
1,352 |
944 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
112 |
$0.00 |
| 99024 |
|
29 |
26 |
$0.00 |