| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,086 |
6,876 |
$735K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
127 |
124 |
$139K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
594 |
592 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
545 |
$57K |
| 76801 |
|
549 |
526 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
493 |
490 |
$45K |
| 81002 |
|
12,454 |
8,086 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
224 |
222 |
$34K |
| 85018 |
|
8,916 |
7,695 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
142 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
203 |
195 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
646 |
645 |
$13K |
| 59430 |
|
62 |
61 |
$7K |
| 81025 |
|
492 |
482 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
82 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
727 |
641 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
221 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
12 |
$1K |
| 90686 |
|
62 |
61 |
$957.28 |
| 90756 |
|
29 |
29 |
$880.39 |
| 90656 |
|
40 |
40 |
$744.78 |
| 90688 |
|
28 |
27 |
$552.50 |
| 99441 |
|
26 |
23 |
$417.76 |
| 59025 |
Fetal non-stress test |
18 |
13 |
$401.76 |
| 90658 |
|
20 |
20 |
$311.49 |