| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,726 |
14,358 |
$771K |
| 76830 |
Ultrasound, transvaginal |
1,675 |
1,553 |
$108K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,531 |
1,369 |
$95K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,491 |
1,346 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,256 |
1,142 |
$81K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
499 |
452 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
91 |
$6K |
| 99218 |
|
112 |
106 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
55 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
52 |
26 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
38 |
36 |
$3K |
| 59430 |
|
12 |
12 |
$1K |
| 87210 |
|
70 |
70 |
$285.62 |
| 90686 |
|
15 |
14 |
$219.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$162.56 |
| 81002 |
|
13 |
13 |
$24.66 |
| 1036F |
|
8,640 |
7,718 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
711 |
631 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,348 |
2,089 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
241 |
221 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,733 |
10,556 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
5,855 |
5,365 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,280 |
4,655 |
$0.00 |
| 4004F |
|
2,076 |
1,823 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
185 |
160 |
$0.00 |
| 0502F |
|
35 |
26 |
$0.00 |