| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,785 |
25,924 |
$1.89M |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,709 |
2,637 |
$190K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
99 |
93 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,700 |
2,558 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
989 |
964 |
$86K |
| 81025 |
|
8,003 |
7,566 |
$59K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
600 |
551 |
$46K |
| 81003 |
|
17,574 |
15,373 |
$45K |
| 85018 |
|
12,244 |
11,628 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
257 |
253 |
$29K |
| 81002 |
|
8,626 |
7,615 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
259 |
238 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
183 |
$18K |
| 59025 |
Fetal non-stress test |
550 |
451 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
418 |
417 |
$8K |
| 96160 |
|
343 |
336 |
$4K |
| 76830 |
Ultrasound, transvaginal |
44 |
41 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
506 |
482 |
$4K |
| 90715 |
|
97 |
97 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
131 |
130 |
$3K |
| 99080 |
|
14 |
14 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
31 |
27 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
228 |
221 |
$2K |
| 90686 |
|
116 |
111 |
$2K |
| 90674 |
|
86 |
86 |
$1K |
| 99219 |
|
14 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 59430 |
|
13 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$749.61 |
| 82950 |
|
136 |
133 |
$674.95 |
| 87210 |
|
120 |
112 |
$593.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
156 |
$579.74 |
| 82951 |
|
25 |
24 |
$332.23 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.50 |