| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,347 |
30,756 |
$1.36M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,110 |
871 |
$732K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,421 |
6,340 |
$446K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,921 |
6,100 |
$440K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,963 |
5,425 |
$439K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,937 |
2,703 |
$317K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
8,043 |
6,982 |
$269K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,972 |
2,769 |
$242K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,381 |
3,081 |
$163K |
| 59025 |
Fetal non-stress test |
5,394 |
3,751 |
$135K |
| 76830 |
Ultrasound, transvaginal |
2,156 |
2,076 |
$132K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,384 |
2,064 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,101 |
1,050 |
$106K |
| 59410 |
|
140 |
114 |
$88K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,479 |
1,422 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,931 |
1,146 |
$73K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
400 |
377 |
$47K |
| 76820 |
|
838 |
459 |
$44K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,663 |
1,450 |
$39K |
| 99459 |
|
1,919 |
1,826 |
$30K |
| 81025 |
|
4,679 |
4,328 |
$29K |
| 99245 |
|
186 |
176 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,448 |
1,383 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
303 |
261 |
$22K |
| 59514 |
|
34 |
24 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
247 |
140 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
422 |
$12K |
| 99215 |
Prolong outpt/office vis |
114 |
113 |
$10K |
| 90715 |
|
360 |
344 |
$9K |
| 76801 |
|
126 |
121 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
63 |
60 |
$7K |
| 99254 |
|
52 |
47 |
$5K |
| 99205 |
Prolong outpt/office vis |
42 |
40 |
$4K |
| 76818 |
|
67 |
42 |
$3K |
| 99221 |
|
51 |
48 |
$2K |
| 90686 |
|
114 |
107 |
$2K |
| 90674 |
|
64 |
60 |
$1K |
| 90661 |
|
37 |
37 |
$1K |
| 99243 |
|
15 |
14 |
$1K |
| 81002 |
|
544 |
417 |
$1K |
| 82962 |
|
360 |
239 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$986.49 |
| 51798 |
|
79 |
75 |
$811.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$804.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$626.51 |
| 99241 |
|
18 |
13 |
$598.79 |
| 59200 |
|
13 |
13 |
$407.10 |
| 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) |
180 |
150 |
$277.61 |
| 81003 |
|
112 |
106 |
$265.82 |
| 82950 |
|
33 |
27 |
$167.42 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.14 |
| 99024 |
|
42 |
29 |
$0.00 |