| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,995 |
43,441 |
$5.27M |
| 76830 |
Ultrasound, transvaginal |
20,335 |
18,929 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,867 |
7,344 |
$1.39M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,426 |
4,402 |
$632K |
| 58558 |
|
399 |
399 |
$629K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,079 |
5,077 |
$537K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
434 |
422 |
$475K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,972 |
3,971 |
$453K |
| 59430 |
|
1,496 |
1,489 |
$425K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,991 |
3,983 |
$406K |
| 76818 |
|
3,156 |
1,491 |
$403K |
| 81025 |
|
30,092 |
25,909 |
$229K |
| 59514 |
|
167 |
164 |
$217K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
9,607 |
9,598 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,900 |
2,793 |
$151K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,262 |
1,183 |
$125K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
844 |
842 |
$124K |
| 99385 |
|
922 |
922 |
$104K |
| 99386 |
|
798 |
798 |
$103K |
| 99215 |
Prolong outpt/office vis |
512 |
511 |
$89K |
| 90715 |
|
2,234 |
2,234 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,095 |
4,877 |
$80K |
| 76813 |
|
502 |
502 |
$65K |
| 76820 |
|
1,103 |
876 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
401 |
401 |
$48K |
| 81003 |
|
23,996 |
13,330 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
437 |
319 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
22,550 |
19,695 |
$42K |
| 90656 |
|
1,035 |
1,035 |
$19K |
| 90674 |
|
596 |
595 |
$19K |
| 99441 |
|
512 |
503 |
$18K |
| 99401 |
|
730 |
730 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
649 |
441 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,361 |
1,355 |
$12K |
| 54160 |
|
40 |
40 |
$7K |
| 99442 |
|
41 |
40 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$834.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$421.72 |
| 86580 |
|
24 |
24 |
$213.18 |