| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,138 |
20,646 |
$808K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,237 |
11,607 |
$639K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
907 |
901 |
$518K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,698 |
3,620 |
$298K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,174 |
2,157 |
$222K |
| 76830 |
Ultrasound, transvaginal |
2,215 |
2,182 |
$203K |
| 81025 |
|
24,225 |
21,671 |
$166K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,916 |
1,738 |
$136K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,166 |
2,158 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,363 |
2,349 |
$123K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,078 |
1,810 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,491 |
1,479 |
$112K |
| 59430 |
|
982 |
972 |
$84K |
| 81003 |
|
42,355 |
33,373 |
$77K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,355 |
1,347 |
$73K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,003 |
963 |
$61K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,474 |
1,360 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,164 |
2,038 |
$24K |
| 99385 |
|
365 |
363 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
872 |
796 |
$19K |
| 99091 |
|
55 |
53 |
$9K |
| 59514 |
|
12 |
12 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
116 |
114 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
110 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
56 |
54 |
$5K |
| 85018 |
|
2,023 |
1,975 |
$4K |
| 58300 |
|
59 |
51 |
$4K |
| 76857 |
|
97 |
85 |
$3K |
| 11981 |
|
40 |
40 |
$3K |
| 90715 |
|
103 |
100 |
$2K |
| 82947 |
|
664 |
412 |
$2K |
| 99442 |
|
42 |
41 |
$1K |
| 58301 |
|
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$903.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
80 |
$896.60 |
| 87210 |
|
36 |
36 |
$188.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
24 |
$11.09 |