| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,984 |
15,999 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,206 |
3,652 |
$299K |
| 76818 |
|
3,979 |
1,687 |
$284K |
| 76830 |
Ultrasound, transvaginal |
2,884 |
2,679 |
$211K |
| 99235 |
|
1,478 |
880 |
$148K |
| 93976 |
|
1,570 |
1,479 |
$124K |
| 81002 |
|
11,461 |
6,022 |
$94K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,183 |
1,092 |
$86K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,484 |
1,244 |
$83K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,135 |
982 |
$74K |
| 58558 |
|
109 |
106 |
$72K |
| 80305 |
|
4,517 |
2,401 |
$69K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,214 |
964 |
$64K |
| 99385 |
|
596 |
567 |
$46K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
797 |
655 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
294 |
275 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
487 |
452 |
$27K |
| 76857 |
|
750 |
703 |
$22K |
| 81025 |
|
2,207 |
2,059 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
28 |
$21K |
| 59430 |
|
79 |
77 |
$17K |
| 99215 |
Prolong outpt/office vis |
61 |
55 |
$7K |
| 76801 |
|
89 |
81 |
$6K |
| 59025 |
Fetal non-stress test |
150 |
64 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$2K |
| 99234 |
|
17 |
14 |
$2K |
| 93922 |
|
27 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
35 |
$1K |
| 54150 |
|
24 |
24 |
$1K |
| 95924 |
|
14 |
14 |
$1K |
| 81003 |
|
33 |
23 |
$1K |
| 95923 |
|
14 |
14 |
$977.52 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$568.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
25 |
21 |
$200.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
74 |
71 |
$196.13 |
| 4004F |
|
224 |
152 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
70 |
59 |
$0.00 |