| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,358 |
3,623 |
$244K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
274 |
262 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,971 |
3,177 |
$125K |
| 76830 |
Ultrasound, transvaginal |
1,105 |
951 |
$101K |
| 59430 |
|
651 |
617 |
$58K |
| 99000 |
|
5,484 |
3,856 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
423 |
416 |
$44K |
| 81002 |
|
6,918 |
4,324 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
283 |
280 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
195 |
$15K |
| 81025 |
|
2,004 |
1,809 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
133 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
130 |
125 |
$11K |
| 58300 |
|
44 |
40 |
$2K |
| 76857 |
|
40 |
40 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$859.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
71 |
$820.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
42 |
$590.10 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |