| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,953 |
18,069 |
$996K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,646 |
17,451 |
$623K |
| 76818 |
|
5,754 |
4,480 |
$511K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,842 |
2,796 |
$296K |
| 59515 |
|
366 |
364 |
$286K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
469 |
464 |
$266K |
| 76801 |
|
1,700 |
1,670 |
$154K |
| 99235 |
|
1,104 |
1,054 |
$153K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,576 |
1,567 |
$136K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,210 |
1,188 |
$97K |
| 81002 |
|
35,689 |
28,571 |
$89K |
| 59025 |
Fetal non-stress test |
2,029 |
1,841 |
$71K |
| 90715 |
|
2,014 |
1,974 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,197 |
1,180 |
$64K |
| 81025 |
|
9,491 |
9,150 |
$58K |
| 59430 |
|
538 |
533 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,758 |
1,702 |
$31K |
| 76830 |
Ultrasound, transvaginal |
264 |
259 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,303 |
2,252 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,635 |
1,070 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
184 |
183 |
$13K |
| 59514 |
|
12 |
12 |
$8K |
| 59410 |
|
13 |
13 |
$6K |
| 90756 |
|
226 |
217 |
$4K |
| 0500F |
|
305 |
304 |
$0.00 |
| 99080 |
|
309 |
308 |
$0.00 |