| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,353 |
6,622 |
$506K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
317 |
317 |
$297K |
| 76830 |
Ultrasound, transvaginal |
3,208 |
3,130 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,199 |
2,627 |
$151K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,369 |
2,093 |
$128K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,729 |
2,213 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,163 |
1,163 |
$68K |
| 76820 |
|
2,626 |
2,132 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
553 |
552 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
898 |
590 |
$47K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
599 |
597 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
490 |
480 |
$27K |
| 59514 |
|
24 |
24 |
$23K |
| 76801 |
|
298 |
296 |
$22K |
| 59430 |
|
326 |
326 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
177 |
177 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
171 |
168 |
$7K |
| 99385 |
|
84 |
84 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
55 |
55 |
$5K |
| 54160 |
|
29 |
28 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
142 |
$2K |
| 0502F |
|
2,736 |
1,694 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |