| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,559 |
21,307 |
$1.38M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,218 |
4,127 |
$325K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,890 |
3,827 |
$318K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
492 |
484 |
$312K |
| 76818 |
|
4,341 |
1,532 |
$302K |
| 76830 |
Ultrasound, transvaginal |
2,193 |
2,078 |
$140K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,396 |
1,308 |
$128K |
| 76820 |
|
2,802 |
901 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,295 |
1,220 |
$77K |
| 59025 |
Fetal non-stress test |
2,537 |
974 |
$74K |
| 59410 |
|
105 |
80 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
1,022 |
$66K |
| 59430 |
|
653 |
649 |
$51K |
| H1000 |
Prenatal care, at-risk assessment |
1,186 |
1,107 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,228 |
1,097 |
$31K |
| 54150 |
|
519 |
491 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
388 |
$21K |
| 59514 |
|
25 |
24 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,134 |
765 |
$16K |
| 81002 |
|
4,694 |
4,333 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
149 |
65 |
$10K |
| 87210 |
|
2,653 |
2,376 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
120 |
113 |
$10K |
| 59515 |
|
12 |
12 |
$7K |
| 81025 |
|
831 |
776 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
312 |
196 |
$4K |
| 59899 |
|
40 |
40 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
45 |
42 |
$3K |
| 76801 |
|
30 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
14 |
$863.85 |
| 99385 |
|
15 |
12 |
$810.47 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$791.31 |
| 76857 |
|
12 |
12 |
$420.82 |
| J2675 |
Injection, progesterone, per 50 mg |
51 |
12 |
$24.35 |