| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,178 |
8,439 |
$746K |
| 51798 |
|
9,809 |
7,077 |
$664K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,548 |
10,389 |
$572K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
160 |
159 |
$262K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
563 |
558 |
$221K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,305 |
2,276 |
$180K |
| 76830 |
Ultrasound, transvaginal |
2,283 |
2,247 |
$178K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,033 |
1,025 |
$130K |
| 59025 |
Fetal non-stress test |
9,058 |
3,356 |
$128K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,822 |
1,676 |
$114K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,224 |
1,108 |
$112K |
| 99215 |
Prolong outpt/office vis |
878 |
850 |
$93K |
| 59020 |
|
1,315 |
515 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
461 |
$49K |
| 59510 |
|
24 |
24 |
$47K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
212 |
206 |
$37K |
| 81003 |
|
12,878 |
8,495 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
201 |
$19K |
| 81025 |
|
3,934 |
3,801 |
$19K |
| 59514 |
|
39 |
39 |
$18K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,819 |
3,743 |
$15K |
| 80305 |
|
961 |
952 |
$13K |
| 45990 |
|
237 |
235 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
66 |
66 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
236 |
227 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
711 |
703 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
331 |
272 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
88 |
$4K |
| 83986 |
|
1,254 |
1,237 |
$4K |
| 99401 |
|
149 |
117 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
136 |
109 |
$2K |
| 85018 |
|
924 |
914 |
$2K |
| 94760 |
|
411 |
386 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
80 |
54 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
26 |
13 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
63 |
63 |
$1K |
| 82274 |
|
63 |
63 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
112 |
69 |
$871.48 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
13 |
$418.08 |
| 82947 |
|
79 |
78 |
$300.35 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
130 |
128 |
$225.20 |
| 97803 |
|
29 |
23 |
$29.47 |