| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,280 |
3,111 |
$161K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,623 |
1,394 |
$116K |
| 76818 |
|
1,645 |
620 |
$108K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,794 |
1,384 |
$100K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
85 |
69 |
$91K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,583 |
1,100 |
$63K |
| 59025 |
Fetal non-stress test |
1,760 |
809 |
$54K |
| 57452 |
|
674 |
583 |
$46K |
| 76801 |
|
664 |
475 |
$36K |
| 99385 |
|
426 |
350 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
664 |
448 |
$31K |
| 0503F |
|
640 |
486 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
407 |
344 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
197 |
160 |
$19K |
| 81025 |
|
4,098 |
3,232 |
$17K |
| 81002 |
|
5,415 |
4,236 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
104 |
$9K |
| 90715 |
|
218 |
193 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
489 |
425 |
$7K |
| 0500F |
|
542 |
442 |
$5K |
| 87210 |
|
1,505 |
1,207 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
63 |
$2K |
| 54150 |
|
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
83 |
$974.83 |
| 59430 |
|
316 |
231 |
$75.16 |
| 3294F |
|
352 |
270 |
$0.00 |
| 99024 |
|
106 |
94 |
$0.00 |
| 0502F |
|
603 |
439 |
$0.00 |