| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,298 |
23,453 |
$1.34M |
| 76830 |
Ultrasound, transvaginal |
2,987 |
2,716 |
$182K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,848 |
2,745 |
$171K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,632 |
2,245 |
$156K |
| 59410 |
|
167 |
154 |
$119K |
| 59514 |
|
222 |
217 |
$89K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
834 |
757 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
896 |
847 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,132 |
1,054 |
$57K |
| 59025 |
Fetal non-stress test |
1,933 |
941 |
$52K |
| H1000 |
Prenatal care, at-risk assessment |
1,757 |
1,629 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
709 |
642 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
423 |
396 |
$38K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
55 |
53 |
$33K |
| 81025 |
|
4,730 |
4,374 |
$28K |
| 59430 |
|
371 |
349 |
$25K |
| 58661 |
|
66 |
58 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
162 |
153 |
$23K |
| 59515 |
|
30 |
27 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,006 |
920 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
286 |
282 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
551 |
474 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
550 |
474 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
963 |
882 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
209 |
200 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
492 |
348 |
$12K |
| 76813 |
|
148 |
134 |
$12K |
| 54150 |
|
160 |
152 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
230 |
221 |
$7K |
| 99459 |
|
450 |
443 |
$6K |
| 76818 |
|
78 |
50 |
$6K |
| 81002 |
|
905 |
861 |
$2K |
| 99218 |
|
43 |
39 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$589.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$432.91 |
| 87653 |
|
20 |
13 |
$406.26 |
| 82274 |
|
12 |
12 |
$136.74 |
| 99024 |
|
38 |
38 |
$0.00 |