| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,391 |
14,597 |
$690K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,809 |
5,131 |
$387K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
253 |
236 |
$147K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,278 |
2,158 |
$116K |
| 59430 |
|
969 |
941 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
805 |
745 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
665 |
622 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
394 |
353 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
270 |
133 |
$16K |
| 76801 |
|
192 |
181 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
291 |
261 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
197 |
181 |
$12K |
| 99385 |
|
187 |
177 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
197 |
$10K |
| 81025 |
|
1,864 |
1,776 |
$9K |
| 76830 |
Ultrasound, transvaginal |
116 |
108 |
$6K |
| 59514 |
|
13 |
12 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
517 |
501 |
$5K |
| 90686 |
|
225 |
205 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
143 |
$2K |
| 54150 |
|
13 |
12 |
$2K |