| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,713 |
3,589 |
$181K |
| 0502F |
|
700 |
487 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
197 |
194 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
146 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
131 |
116 |
$8K |
| 81025 |
|
1,110 |
1,005 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
40 |
$4K |
| 76830 |
Ultrasound, transvaginal |
53 |
48 |
$3K |
| 99385 |
|
57 |
43 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
203 |
192 |
$2K |
| 59025 |
Fetal non-stress test |
205 |
114 |
$2K |
| 76801 |
|
13 |
13 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
24 |
$619.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$550.20 |
| 99459 |
|
16 |
14 |
$220.80 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
76 |
$125.37 |
| 81000 |
|
28 |
25 |
$79.00 |