| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,928 |
5,610 |
$552K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
423 |
358 |
$403K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
602 |
581 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
592 |
544 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
450 |
422 |
$49K |
| 59430 |
|
298 |
296 |
$49K |
| 76801 |
|
448 |
409 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
475 |
444 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
370 |
364 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
167 |
$27K |
| 81025 |
|
3,335 |
3,107 |
$25K |
| 81003 |
|
7,178 |
4,553 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
371 |
355 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
76 |
73 |
$11K |
| A4550 |
Surgical trays |
1,798 |
1,646 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
82 |
$8K |
| 90715 |
|
215 |
204 |
$8K |
| 59025 |
Fetal non-stress test |
222 |
122 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
71 |
69 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
190 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
615 |
553 |
$2K |
| 99385 |
|
15 |
12 |
$2K |
| 96127 |
|
206 |
198 |
$1K |
| 96160 |
|
13 |
13 |
$131.98 |