| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,315 |
2,860 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
931 |
872 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
899 |
884 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,598 |
1,437 |
$40K |
| 59514 |
|
96 |
94 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
365 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
377 |
369 |
$20K |
| 76830 |
Ultrasound, transvaginal |
219 |
213 |
$14K |
| 59025 |
Fetal non-stress test |
563 |
401 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
164 |
$12K |
| 81025 |
|
1,694 |
1,565 |
$10K |
| 81002 |
|
1,724 |
1,133 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,570 |
1,409 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
116 |
103 |
$3K |
| 99459 |
|
200 |
197 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
41 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
153 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
27 |
$803.98 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$150.08 |
| 87210 |
|
34 |
27 |
$101.20 |