| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,198 |
4,160 |
$250K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,404 |
1,203 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,461 |
997 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
291 |
$27K |
| 59025 |
Fetal non-stress test |
1,728 |
907 |
$23K |
| 76820 |
|
226 |
192 |
$10K |
| 0502F |
|
321 |
169 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
53 |
$4K |
| 81025 |
|
664 |
570 |
$3K |
| 99459 |
|
320 |
242 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
40 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
12 |
$831.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$729.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$119.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
37 |
$105.80 |
| 88142 |
|
14 |
13 |
$0.04 |