| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,437 |
8,715 |
$507K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,964 |
4,578 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,878 |
1,683 |
$115K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
999 |
873 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
478 |
458 |
$29K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
305 |
296 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
630 |
598 |
$8K |
| 76830 |
Ultrasound, transvaginal |
93 |
93 |
$6K |
| 99215 |
Prolong outpt/office vis |
74 |
57 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
141 |
136 |
$5K |
| 81000 |
|
1,896 |
1,401 |
$5K |
| 59025 |
Fetal non-stress test |
155 |
87 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
152 |
135 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
151 |
134 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
75 |
73 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$602.36 |
| 81025 |
|
94 |
86 |
$464.15 |