| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,675 |
7,185 |
$359K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
548 |
513 |
$305K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,674 |
1,474 |
$125K |
| 59514 |
|
216 |
158 |
$107K |
| 59025 |
Fetal non-stress test |
2,733 |
1,102 |
$90K |
| 59430 |
|
1,097 |
964 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,529 |
1,076 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
596 |
566 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
901 |
802 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
736 |
637 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,657 |
1,508 |
$35K |
| 81002 |
|
12,892 |
7,464 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
411 |
332 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
316 |
312 |
$21K |
| 81025 |
|
1,125 |
1,056 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,668 |
2,176 |
$5K |
| 76830 |
Ultrasound, transvaginal |
44 |
39 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
152 |
$2K |
| 99000 |
|
39 |
33 |
$264.79 |
| 99024 |
|
14 |
14 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |