| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,882 |
5,241 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,889 |
7,719 |
$444K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,276 |
1,239 |
$120K |
| H1000 |
Prenatal care, at-risk assessment |
1,457 |
1,273 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,606 |
1,565 |
$95K |
| 87660 |
|
4,635 |
4,414 |
$72K |
| 87480 |
|
4,608 |
4,391 |
$71K |
| 87510 |
|
4,611 |
4,393 |
$65K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
604 |
584 |
$39K |
| 76801 |
|
484 |
457 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
351 |
331 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
48 |
38 |
$31K |
| 81025 |
|
3,726 |
3,441 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
300 |
288 |
$20K |
| 81002 |
|
4,670 |
4,418 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
106 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
145 |
142 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
292 |
262 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
244 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
81 |
74 |
$6K |
| 59430 |
|
52 |
52 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
131 |
91 |
$3K |
| 76820 |
|
74 |
70 |
$2K |
| 85018 |
|
966 |
950 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
125 |
$2K |
| 99385 |
|
12 |
12 |
$836.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$770.34 |
| 54160 |
|
13 |
12 |
$725.40 |
| 82274 |
|
12 |
12 |
$155.67 |
| 81003 |
|
27 |
27 |
$49.65 |
| 99024 |
|
16 |
14 |
$0.00 |