| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,687 |
12,523 |
$653K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,563 |
2,477 |
$270K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,006 |
1,874 |
$141K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
68 |
68 |
$133K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,040 |
897 |
$51K |
| 59510 |
|
12 |
12 |
$23K |
| 81025 |
|
3,356 |
3,160 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
161 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
149 |
142 |
$15K |
| 0500F |
|
1,631 |
1,552 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
250 |
229 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
169 |
$13K |
| 99215 |
Prolong outpt/office vis |
124 |
115 |
$12K |
| 0503F |
|
298 |
287 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
123 |
$10K |
| 76830 |
Ultrasound, transvaginal |
124 |
111 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
156 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
62 |
$2K |
| 76818 |
|
22 |
12 |
$998.62 |
| 87210 |
|
68 |
65 |
$307.02 |
| 87220 |
|
41 |
39 |
$168.36 |