| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,861 |
23,826 |
$2.23M |
| 93976 |
|
38,959 |
33,155 |
$1.63M |
| 76820 |
|
39,231 |
33,063 |
$1.04M |
| 76828 |
|
31,240 |
26,885 |
$797K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,486 |
7,791 |
$795K |
| 76821 |
|
25,187 |
20,783 |
$794K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18,133 |
13,605 |
$753K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15,411 |
12,941 |
$659K |
| 76818 |
|
14,207 |
9,694 |
$636K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12,501 |
10,799 |
$509K |
| 76825 |
|
3,102 |
2,775 |
$220K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,907 |
3,514 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,840 |
1,604 |
$174K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
18,242 |
15,768 |
$174K |
| 76827 |
|
4,955 |
4,120 |
$134K |
| 93325 |
|
32,373 |
27,114 |
$111K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,340 |
1,021 |
$100K |
| 76813 |
|
1,824 |
1,707 |
$92K |
| 76801 |
|
2,169 |
2,004 |
$92K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,993 |
1,533 |
$81K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,368 |
1,678 |
$71K |
| 76826 |
|
795 |
564 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
222 |
213 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
516 |
494 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
147 |
129 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
79 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
289 |
270 |
$10K |
| 99215 |
Prolong outpt/office vis |
50 |
38 |
$9K |
| 59025 |
Fetal non-stress test |
298 |
267 |
$7K |
| 76998 |
|
165 |
141 |
$6K |
| 81025 |
|
574 |
534 |
$5K |
| 54150 |
|
56 |
52 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
32 |
$4K |
| 76810 |
|
59 |
29 |
$2K |
| 96127 |
|
281 |
257 |
$1K |
| 99459 |
|
41 |
41 |
$1K |
| 81002 |
|
301 |
267 |
$883.11 |
| 87210 |
|
163 |
147 |
$679.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$234.23 |
| 82962 |
|
16 |
13 |
$50.17 |