| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,607 |
18,511 |
$1.35M |
| 59514 |
|
1,166 |
1,116 |
$774K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,689 |
15,939 |
$669K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,095 |
1,075 |
$656K |
| 76830 |
Ultrasound, transvaginal |
5,238 |
4,874 |
$455K |
| 99000 |
|
28,349 |
20,250 |
$282K |
| 59025 |
Fetal non-stress test |
7,876 |
3,857 |
$280K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,804 |
1,745 |
$225K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,444 |
3,197 |
$200K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,062 |
2,969 |
$197K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13,532 |
11,079 |
$181K |
| 99235 |
|
1,382 |
1,192 |
$176K |
| 76801 |
|
1,845 |
1,798 |
$160K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,424 |
1,969 |
$152K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,982 |
1,903 |
$125K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,236 |
1,206 |
$124K |
| 59430 |
|
1,131 |
1,115 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,325 |
1,297 |
$101K |
| 81025 |
|
15,062 |
13,150 |
$82K |
| 81002 |
|
36,895 |
25,849 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
958 |
933 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
572 |
519 |
$48K |
| H1010 |
Non-medical family planning education, per session |
2,868 |
2,792 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
518 |
458 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,641 |
1,229 |
$17K |
| 99236 |
Prolong inpt eval add15 m |
102 |
88 |
$17K |
| 11981 |
|
38 |
38 |
$3K |
| 87800 |
|
80 |
57 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
85 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
59 |
$1K |
| 99221 |
|
17 |
15 |
$906.32 |
| 99385 |
|
12 |
12 |
$788.50 |
| 58300 |
|
12 |
12 |
$776.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$305.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
25 |
$12.47 |
| 0502F |
|
3,057 |
1,799 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,900 |
2,316 |
$0.00 |
| 0503F |
|
612 |
570 |
$0.00 |
| 0501F |
|
304 |
298 |
$0.00 |
| 0500F |
|
469 |
457 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
160 |
157 |
$0.00 |