| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
2,568 |
$171K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,339 |
1,024 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,186 |
3,268 |
$130K |
| 99215 |
Prolong outpt/office vis |
968 |
687 |
$64K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
351 |
338 |
$42K |
| 59430 |
|
289 |
281 |
$26K |
| 81002 |
|
6,607 |
3,742 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
228 |
219 |
$17K |
| 76830 |
Ultrasound, transvaginal |
183 |
179 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$15K |
| 99000 |
|
691 |
607 |
$6K |
| 76801 |
|
45 |
44 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
52 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
99 |
$1K |
| 81025 |
|
206 |
199 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$922.37 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$708.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$299.82 |
| 99051 |
|
14 |
14 |
$89.64 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
39 |
$0.00 |