| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,245 |
39,929 |
$2.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,207 |
6,235 |
$417K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,732 |
2,324 |
$115K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,054 |
970 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,081 |
977 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,195 |
1,076 |
$34K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,223 |
619 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
338 |
325 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
187 |
177 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
667 |
586 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
162 |
$12K |
| 99385 |
|
120 |
89 |
$7K |
| 76801 |
|
119 |
104 |
$6K |
| 99243 |
|
85 |
78 |
$4K |
| 76820 |
|
171 |
71 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
197 |
178 |
$3K |
| 76830 |
Ultrasound, transvaginal |
42 |
42 |
$3K |
| 92557 |
|
26 |
26 |
$606.90 |
| 90686 |
|
38 |
38 |
$588.30 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$587.70 |
| 11100 |
|
15 |
14 |
$585.18 |
| 81002 |
|
314 |
294 |
$536.12 |
| 92567 |
|
43 |
40 |
$467.77 |
| 90674 |
|
17 |
16 |
$369.81 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$345.01 |
| 81025 |
|
58 |
50 |
$216.41 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
42 |
$106.18 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
13 |
$60.58 |
| 3078F |
|
29,911 |
25,873 |
$0.00 |
| 99024 |
|
847 |
659 |
$0.00 |
| 3074F |
|
37,644 |
32,345 |
$0.00 |
| 3079F |
|
8,165 |
7,345 |
$0.00 |
| 3008F |
|
48,089 |
41,082 |
$0.00 |
| 3066F |
|
1,805 |
1,628 |
$0.00 |
| 3075F |
|
814 |
735 |
$0.00 |
| 3080F |
|
15 |
13 |
$0.00 |
| 3044F |
|
32 |
24 |
$0.00 |