| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,264 |
4,080 |
$164K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
62 |
38 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
462 |
366 |
$28K |
| 76830 |
Ultrasound, transvaginal |
448 |
379 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
491 |
347 |
$9K |
| 59025 |
Fetal non-stress test |
158 |
94 |
$4K |
| 81025 |
|
742 |
591 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
36 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
60 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
95 |
$808.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$791.12 |
| 87210 |
|
273 |
229 |
$734.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
37 |
$611.32 |
| 81002 |
|
62 |
50 |
$112.84 |
| 0502F |
|
885 |
764 |
$0.00 |