| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,199 |
15,527 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,937 |
3,189 |
$218K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,699 |
2,947 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,946 |
1,517 |
$180K |
| 20610 |
|
4,752 |
3,034 |
$110K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
374 |
299 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
398 |
260 |
$25K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
393 |
159 |
$20K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,314 |
3,027 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,095 |
768 |
$19K |
| 76830 |
Ultrasound, transvaginal |
97 |
82 |
$8K |
| 92567 |
|
365 |
310 |
$4K |
| 73562 |
|
205 |
157 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
66 |
$3K |
| 31231 |
|
34 |
26 |
$3K |
| 99401 |
|
95 |
65 |
$2K |
| 92557 |
|
86 |
74 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 92550 |
|
118 |
106 |
$1K |
| 69210 |
|
53 |
40 |
$1K |
| 72110 |
|
32 |
25 |
$921.46 |
| 73620 |
|
86 |
50 |
$852.22 |
| 92579 |
|
18 |
15 |
$635.42 |
| 73100 |
|
40 |
24 |
$472.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
31 |
$406.78 |
| 90715 |
|
15 |
12 |
$400.01 |
| 73030 |
|
32 |
24 |
$351.49 |
| 73120 |
|
20 |
12 |
$258.72 |
| 72100 |
|
16 |
13 |
$215.68 |
| 73564 |
|
16 |
13 |
$214.61 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
35 |
25 |
$123.70 |