| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,631 |
15,298 |
$862K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,487 |
2,261 |
$154K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,584 |
1,479 |
$142K |
| 76830 |
Ultrasound, transvaginal |
2,049 |
1,925 |
$131K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,851 |
1,638 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
887 |
807 |
$56K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
843 |
423 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
698 |
550 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
186 |
139 |
$11K |
| 76801 |
|
118 |
112 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
135 |
104 |
$8K |
| 76813 |
|
52 |
40 |
$3K |
| 54150 |
|
40 |
37 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32 |
31 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
12 |
$1K |
| 87210 |
|
217 |
210 |
$803.74 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,565 |
3,088 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14,105 |
12,339 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
7,815 |
7,062 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
130 |
92 |
$0.00 |
| 4004F |
|
16 |
14 |
$0.00 |
| 1036F |
|
11,395 |
9,863 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,236 |
1,816 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
199 |
179 |
$0.00 |