| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,143 |
3,018 |
$188K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,141 |
1,069 |
$80K |
| 76801 |
|
1,177 |
1,113 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
713 |
711 |
$52K |
| 76830 |
Ultrasound, transvaginal |
740 |
724 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
528 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
777 |
760 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
392 |
392 |
$31K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
38 |
38 |
$29K |
| 59426 |
|
29 |
29 |
$25K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,417 |
1,413 |
$24K |
| 59430 |
|
95 |
88 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
404 |
$17K |
| 99386 |
|
113 |
113 |
$13K |
| 99205 |
Prolong outpt/office vis |
82 |
82 |
$9K |
| 99215 |
Prolong outpt/office vis |
84 |
83 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
127 |
117 |
$6K |
| 81025 |
|
389 |
362 |
$2K |
| 59025 |
Fetal non-stress test |
66 |
39 |
$2K |
| 76818 |
|
15 |
14 |
$832.08 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
14 |
$709.94 |
| 76857 |
|
27 |
26 |
$464.78 |
| 3074F |
|
1,274 |
1,231 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,542 |
1,495 |
$0.00 |
| 3079F |
|
279 |
273 |
$0.00 |
| 3008F |
|
3,637 |
3,485 |
$0.00 |
| 3075F |
|
102 |
101 |
$0.00 |
| 0503F |
|
13 |
12 |
$0.00 |
| 3078F |
|
1,282 |
1,240 |
$0.00 |
| 3077F |
|
61 |
58 |
$0.00 |