| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,298 |
6,033 |
$1.19M |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,774 |
3,876 |
$692K |
| 76830 |
Ultrasound, transvaginal |
5,380 |
5,029 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,321 |
1,646 |
$258K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,915 |
2,490 |
$249K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,251 |
1,250 |
$153K |
| 99215 |
Prolong outpt/office vis |
888 |
880 |
$153K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
50 |
$75K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
495 |
494 |
$65K |
| 76857 |
|
1,059 |
919 |
$52K |
| 99441 |
|
1,319 |
1,151 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
229 |
$44K |
| 59025 |
Fetal non-stress test |
688 |
344 |
$36K |
| 81002 |
|
9,735 |
5,341 |
$23K |
| 81025 |
|
2,499 |
2,329 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
47 |
$5K |
| 99442 |
|
28 |
28 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,275 |
2,271 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,680 |
3,224 |
$370.66 |