| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,609 |
2,448 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,724 |
2,566 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,083 |
1,082 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,028 |
1,026 |
$83K |
| 76830 |
Ultrasound, transvaginal |
936 |
929 |
$64K |
| 59426 |
|
49 |
49 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
279 |
251 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
236 |
218 |
$13K |
| 81025 |
|
871 |
865 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
52 |
$4K |
| 59430 |
|
12 |
12 |
$3K |
| 76801 |
|
41 |
41 |
$3K |
| 59025 |
Fetal non-stress test |
94 |
55 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
301 |
301 |
$15.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
380 |
380 |
$10.00 |