| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,399 |
3,632 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,931 |
3,723 |
$143K |
| 76830 |
Ultrasound, transvaginal |
1,274 |
1,123 |
$106K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,160 |
1,027 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,129 |
1,052 |
$65K |
| 81002 |
|
13,836 |
9,031 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
293 |
282 |
$30K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
58 |
54 |
$29K |
| 59430 |
|
630 |
522 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
218 |
186 |
$13K |
| 81025 |
|
2,047 |
1,786 |
$12K |
| 59025 |
Fetal non-stress test |
341 |
104 |
$10K |
| 99385 |
|
20 |
18 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$616.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$129.32 |
| 96127 |
|
140 |
119 |
$75.00 |
| 99072 |
|
124 |
110 |
$47.77 |
| 99459 |
|
113 |
104 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
54 |
49 |
$0.00 |