| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,193 |
3,046 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,829 |
1,855 |
$340K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
701 |
582 |
$35K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
15 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
97 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
87 |
$11K |
| 99215 |
Prolong outpt/office vis |
38 |
27 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
88 |
$2K |
| 99242 |
|
36 |
23 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
540 |
450 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$884.53 |
| 76820 |
|
16 |
12 |
$746.40 |
| 96127 |
|
49 |
44 |
$202.53 |
| 99051 |
|
14 |
13 |
$94.26 |