| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,615 |
7,990 |
$317K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,355 |
3,100 |
$189K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
151 |
132 |
$189K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,390 |
2,027 |
$162K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,722 |
3,997 |
$142K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,081 |
1,714 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,010 |
1,691 |
$110K |
| 76830 |
Ultrasound, transvaginal |
1,383 |
1,256 |
$54K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,034 |
2,446 |
$40K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
475 |
442 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
565 |
513 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
643 |
564 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
301 |
263 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
357 |
290 |
$12K |
| 99385 |
|
114 |
94 |
$10K |
| 81025 |
|
2,540 |
2,063 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
126 |
$8K |
| 59430 |
|
198 |
119 |
$7K |
| 99406 |
|
869 |
661 |
$7K |
| 3008F |
|
5,342 |
4,116 |
$7K |
| 93976 |
|
31 |
13 |
$3K |
| 76801 |
|
61 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
187 |
160 |
$2K |
| 0502F |
|
6,841 |
5,428 |
$2K |
| 0503F |
|
125 |
74 |
$1K |
| 76820 |
|
31 |
13 |
$1K |
| 58300 |
|
14 |
13 |
$890.54 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$785.85 |
| 81002 |
|
439 |
374 |
$710.77 |
| 87210 |
|
233 |
185 |
$455.44 |
| 99459 |
|
31 |
25 |
$328.47 |
| 59025 |
Fetal non-stress test |
31 |
16 |
$318.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$119.33 |
| 99000 |
|
4,566 |
3,836 |
$2.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14,698 |
12,081 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,694 |
3,810 |
$0.00 |
| 0501F |
|
78 |
70 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
43 |
30 |
$0.00 |