| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,379 |
6,533 |
$566K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,698 |
$190K |
| 59025 |
Fetal non-stress test |
1,509 |
1,003 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
669 |
655 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
405 |
372 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
535 |
427 |
$32K |
| 81002 |
|
7,375 |
5,514 |
$24K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
335 |
242 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
202 |
179 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
355 |
$14K |
| 81025 |
|
1,483 |
1,381 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,234 |
2,045 |
$8K |
| 76830 |
Ultrasound, transvaginal |
89 |
82 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
271 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
39 |
39 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
40 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
40 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
24 |
$3K |
| 90715 |
|
62 |
62 |
$2K |
| 85018 |
|
987 |
960 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 99221 |
|
21 |
20 |
$2K |
| 87210 |
|
339 |
325 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
26 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
55 |
53 |
$1K |
| 83986 |
|
352 |
337 |
$1K |
| 90686 |
|
39 |
39 |
$828.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
163 |
156 |
$632.65 |
| 81003 |
|
215 |
204 |
$458.82 |