| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,205 |
6,165 |
$456K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,313 |
2,463 |
$82K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
149 |
127 |
$77K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,353 |
1,155 |
$75K |
| 99215 |
Prolong outpt/office vis |
1,254 |
955 |
$71K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
908 |
783 |
$67K |
| 76801 |
|
1,075 |
826 |
$67K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
738 |
350 |
$43K |
| 59514 |
|
82 |
68 |
$43K |
| 81025 |
|
7,675 |
5,311 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
558 |
439 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
369 |
324 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,677 |
1,428 |
$16K |
| 81003 |
|
9,292 |
4,710 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
257 |
210 |
$8K |
| 81001 |
|
4,355 |
2,483 |
$7K |
| 59025 |
Fetal non-stress test |
257 |
134 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,035 |
679 |
$4K |
| 81002 |
|
3,843 |
2,074 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
14 |
$950.30 |
| 76830 |
Ultrasound, transvaginal |
19 |
15 |
$947.31 |
| 99235 |
|
15 |
12 |
$835.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
905 |
505 |
$823.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
16 |
$207.33 |
| 1000F |
|
1,644 |
1,154 |
$0.23 |
| A4550 |
Surgical trays |
186 |
55 |
$0.00 |
| 1036F |
|
1,479 |
1,043 |
$0.00 |
| 99070 |
|
12 |
12 |
$0.00 |