| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,315 |
8,454 |
$515K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
238 |
238 |
$141K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,410 |
1,359 |
$114K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,309 |
1,290 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,082 |
1,809 |
$68K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
627 |
611 |
$62K |
| 99091 |
|
292 |
283 |
$49K |
| 81025 |
|
5,975 |
5,219 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
722 |
550 |
$35K |
| 59430 |
|
298 |
290 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
386 |
341 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
496 |
491 |
$26K |
| 81003 |
|
13,702 |
9,976 |
$24K |
| 76830 |
Ultrasound, transvaginal |
169 |
164 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
204 |
204 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
387 |
371 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
100 |
91 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$3K |
| 80305 |
|
157 |
154 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| 90715 |
|
52 |
52 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
131 |
$2K |
| 90656 |
|
99 |
96 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
52 |
$573.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
86 |
$521.53 |
| 76857 |
|
13 |
13 |
$446.76 |
| 85018 |
|
151 |
145 |
$271.32 |
| 80061 |
Lipid panel |
29 |
29 |
$253.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$229.30 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$222.53 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$121.90 |
| 82947 |
|
14 |
12 |
$40.70 |