| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302,352 |
258,211 |
$22.04M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
3,065 |
3,006 |
$6.27M |
| 99215 |
Prolong outpt/office vis |
56,455 |
50,082 |
$5.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,379 |
69,679 |
$3.88M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
37,354 |
33,540 |
$3.04M |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43,428 |
26,717 |
$2.82M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
36,660 |
17,648 |
$2.51M |
| 76830 |
Ultrasound, transvaginal |
22,981 |
20,775 |
$2.04M |
| 76801 |
|
19,890 |
17,924 |
$1.86M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
21,882 |
20,194 |
$1.75M |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18,206 |
17,518 |
$1.41M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
10,305 |
9,747 |
$1.37M |
| 99051 |
|
32,538 |
26,540 |
$1.17M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14,766 |
12,215 |
$1.07M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,750 |
11,307 |
$964K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
969 |
901 |
$891K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,097 |
6,542 |
$708K |
| 81025 |
|
101,515 |
91,862 |
$689K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,043 |
4,743 |
$529K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24,968 |
22,614 |
$372K |
| 76813 |
|
3,765 |
3,422 |
$340K |
| 76376 |
|
65,981 |
50,247 |
$332K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
8,435 |
8,033 |
$313K |
| 59025 |
Fetal non-stress test |
6,395 |
4,767 |
$242K |
| 99205 |
Prolong outpt/office vis |
1,593 |
1,520 |
$211K |
| 90715 |
|
4,227 |
4,061 |
$132K |
| 99385 |
|
1,500 |
1,294 |
$118K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,408 |
4,288 |
$100K |
| 58300 |
|
1,213 |
1,098 |
$78K |
| 81002 |
|
24,272 |
22,302 |
$68K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
55 |
50 |
$53K |
| 87210 |
|
9,778 |
8,728 |
$44K |
| 58301 |
|
548 |
444 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
393 |
378 |
$35K |
| 59510 |
|
12 |
12 |
$24K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
30 |
27 |
$24K |
| 59410 |
|
12 |
12 |
$16K |
| 99050 |
|
5,929 |
3,988 |
$9K |
| 76998 |
|
68 |
61 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
61 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
82 |
82 |
$4K |
| 76827 |
|
97 |
65 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
38 |
37 |
$3K |
| J1729 |
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg |
16 |
14 |
$2K |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
14 |
13 |
$984.67 |
| 59426 |
|
54 |
53 |
$927.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105,739 |
48,530 |
$783.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$237.67 |
| 99080 |
|
214 |
186 |
$193.59 |
| 59430 |
|
67 |
64 |
$48.00 |
| 94760 |
|
30 |
25 |
$37.73 |
| 83986 |
|
17 |
13 |
$33.33 |
| 99070 |
|
2,536 |
1,871 |
$0.00 |