| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,125 |
1,882 |
$96K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
55 |
52 |
$90K |
| 76830 |
Ultrasound, transvaginal |
372 |
319 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
470 |
417 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
231 |
206 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
279 |
269 |
$20K |
| 59425 |
|
40 |
36 |
$13K |
| 59426 |
|
15 |
13 |
$11K |
| 59410 |
|
14 |
12 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
141 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
109 |
105 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
70 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
328 |
$4K |
| 54150 |
|
50 |
37 |
$2K |
| 96127 |
|
498 |
486 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$1K |
| S0612 |
Annual gynecological examination, established patient |
32 |
30 |
$1K |
| 58300 |
|
13 |
12 |
$841.71 |
| 81025 |
|
102 |
96 |
$667.46 |
| 36415 |
Collection of venous blood by venipuncture |
102 |
84 |
$211.93 |