| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,900 |
3,168 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,219 |
4,469 |
$191K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,048 |
1,859 |
$145K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
107 |
96 |
$122K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
833 |
648 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,559 |
2,108 |
$63K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,746 |
1,505 |
$53K |
| 0503F |
|
819 |
727 |
$52K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,748 |
1,506 |
$50K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,777 |
1,523 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
651 |
574 |
$38K |
| 76801 |
|
411 |
245 |
$27K |
| 76830 |
Ultrasound, transvaginal |
332 |
303 |
$21K |
| 0500F |
|
1,212 |
790 |
$19K |
| 99215 |
Prolong outpt/office vis |
149 |
123 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
165 |
128 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
57 |
$10K |
| 81003 |
|
5,421 |
4,255 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
598 |
536 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
89 |
75 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
651 |
485 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
82 |
$4K |
| 90686 |
|
240 |
198 |
$4K |
| 59430 |
|
869 |
779 |
$2K |
| 81025 |
|
354 |
313 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 76813 |
|
13 |
13 |
$1K |
| 87210 |
|
95 |
74 |
$289.10 |
| 99406 |
|
13 |
12 |
$62.72 |
| 99080 |
|
1,180 |
864 |
$25.00 |
| 99024 |
|
50 |
40 |
$0.00 |
| 0502F |
|
25,552 |
18,931 |
$0.00 |