| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,772 |
2,593 |
$172K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
256 |
249 |
$146K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
542 |
525 |
$57K |
| 99222 |
Initial hospital care, per day, moderate complexity |
536 |
507 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
733 |
450 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
519 |
496 |
$26K |
| 59430 |
|
278 |
270 |
$26K |
| 99205 |
Prolong outpt/office vis |
216 |
208 |
$22K |
| 99215 |
Prolong outpt/office vis |
298 |
280 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
267 |
264 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
480 |
443 |
$10K |
| 76801 |
|
89 |
80 |
$7K |
| 76857 |
|
142 |
134 |
$5K |
| 81025 |
|
989 |
870 |
$5K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
47 |
$2K |
| 99385 |
|
16 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$278.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
222 |
218 |
$0.33 |
| 99072 |
|
272 |
226 |
$0.00 |