| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,585 |
11,051 |
$816K |
| 59410 |
|
442 |
390 |
$315K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,569 |
1,354 |
$206K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,443 |
1,940 |
$200K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,892 |
2,426 |
$192K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,397 |
2,264 |
$185K |
| 76820 |
|
3,574 |
1,355 |
$172K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,256 |
1,173 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,929 |
2,628 |
$83K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
747 |
604 |
$42K |
| 76830 |
Ultrasound, transvaginal |
491 |
446 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
409 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,631 |
1,507 |
$25K |
| 59025 |
Fetal non-stress test |
813 |
456 |
$18K |
| 81025 |
|
3,112 |
2,825 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
136 |
$14K |
| 99215 |
Prolong outpt/office vis |
139 |
125 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
451 |
397 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
86 |
$6K |
| 99385 |
|
16 |
15 |
$1K |
| 99234 |
|
38 |
14 |
$1K |
| 59430 |
|
27 |
15 |
$1K |
| 81003 |
|
1,273 |
1,196 |
$956.67 |