| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,779 |
9,445 |
$646K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,335 |
1,142 |
$74K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,379 |
1,099 |
$72K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
119 |
95 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
661 |
553 |
$49K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
615 |
562 |
$43K |
| 59430 |
|
472 |
395 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
601 |
224 |
$33K |
| 0502F |
|
2,287 |
617 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
180 |
$14K |
| 76801 |
|
219 |
145 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
119 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
169 |
135 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
142 |
$9K |
| 59514 |
|
21 |
14 |
$8K |
| 76830 |
Ultrasound, transvaginal |
110 |
95 |
$7K |
| 81025 |
|
885 |
695 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
246 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
157 |
$2K |
| 87210 |
|
920 |
623 |
$2K |
| 54150 |
|
16 |
14 |
$2K |
| 99385 |
|
16 |
16 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
30 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
13 |
$949.39 |
| 90656 |
|
46 |
46 |
$865.98 |
| 81003 |
|
197 |
143 |
$136.71 |
| 0503F |
|
35 |
28 |
$125.00 |
| 81000 |
|
15 |
15 |
$31.60 |
| 81002 |
|
15 |
13 |
$0.00 |