| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,109 |
4,689 |
$631K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
1,817 |
$120K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
743 |
615 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
523 |
511 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
339 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
550 |
521 |
$45K |
| 76830 |
Ultrasound, transvaginal |
478 |
444 |
$45K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$45K |
| 59025 |
Fetal non-stress test |
702 |
378 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
196 |
184 |
$20K |
| 59430 |
|
118 |
115 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
259 |
249 |
$15K |
| 76813 |
|
126 |
119 |
$12K |
| 99078 |
|
365 |
277 |
$9K |
| 81025 |
|
1,107 |
1,008 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
82 |
76 |
$6K |
| 81002 |
|
1,852 |
1,192 |
$5K |
| 99385 |
|
14 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
270 |
248 |
$936.34 |
| 90715 |
|
30 |
26 |
$667.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
27 |
$253.51 |