| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,649 |
8,405 |
$403K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,337 |
3,110 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,327 |
1,228 |
$115K |
| 76830 |
Ultrasound, transvaginal |
1,653 |
1,576 |
$102K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,595 |
1,510 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,944 |
1,417 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
584 |
557 |
$41K |
| 76801 |
|
537 |
405 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
76 |
64 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
580 |
482 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
425 |
401 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
516 |
468 |
$21K |
| 81025 |
|
2,741 |
2,404 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
161 |
150 |
$13K |
| 80305 |
|
1,690 |
1,059 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
192 |
147 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
396 |
304 |
$9K |
| 81002 |
|
7,987 |
5,034 |
$8K |
| 99385 |
|
68 |
67 |
$5K |
| 90756 |
|
263 |
219 |
$5K |
| 59430 |
|
43 |
37 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
243 |
$3K |
| 99218 |
|
75 |
69 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
45 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
59 |
$923.60 |
| 87210 |
|
136 |
125 |
$521.52 |
| 90674 |
|
22 |
22 |
$463.46 |
| 90661 |
|
59 |
26 |
$451.59 |
| 99234 |
|
18 |
12 |
$281.17 |