| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,559 |
1,488 |
$102K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
37 |
37 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
751 |
698 |
$86K |
| 59025 |
Fetal non-stress test |
1,390 |
1,096 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
502 |
$57K |
| 76801 |
|
304 |
289 |
$45K |
| 81025 |
|
2,451 |
2,302 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
2,804 |
2,367 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
90 |
90 |
$13K |
| 76818 |
|
79 |
53 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
95 |
92 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
142 |
$7K |
| 81003 |
|
3,390 |
3,010 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
42 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
93 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$2K |
| 87210 |
|
244 |
230 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
47 |
$809.20 |
| 90686 |
|
41 |
40 |
$761.21 |
| 87220 |
|
14 |
13 |
$72.37 |