| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,406 |
10,619 |
$629K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,053 |
1,930 |
$220K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,486 |
1,931 |
$177K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,961 |
3,820 |
$152K |
| 59025 |
Fetal non-stress test |
4,121 |
1,861 |
$135K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
101 |
96 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,409 |
1,341 |
$102K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
468 |
453 |
$81K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,111 |
1,005 |
$74K |
| 81025 |
|
4,515 |
4,015 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,825 |
1,547 |
$20K |
| 81002 |
|
3,609 |
3,330 |
$10K |
| 76818 |
|
101 |
87 |
$9K |
| 76830 |
Ultrasound, transvaginal |
80 |
80 |
$6K |
| 85018 |
|
1,280 |
1,226 |
$3K |
| 59841 |
|
12 |
12 |
$3K |
| 11981 |
|
24 |
24 |
$2K |
| 99053 |
|
53 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
534 |
428 |
$1K |
| 0502F |
|
2,954 |
1,764 |
$0.00 |
| 0503F |
|
207 |
182 |
$0.00 |
| 0500F |
|
405 |
371 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |