| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,066 |
13,755 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,553 |
15,449 |
$1.10M |
| 76830 |
Ultrasound, transvaginal |
2,034 |
1,950 |
$191K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,608 |
1,410 |
$157K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,422 |
1,325 |
$138K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,153 |
1,044 |
$91K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
28 |
28 |
$64K |
| 87480 |
|
5,249 |
4,963 |
$62K |
| 87510 |
|
5,248 |
4,963 |
$62K |
| 87660 |
|
5,241 |
4,960 |
$62K |
| 59025 |
Fetal non-stress test |
1,345 |
1,013 |
$38K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
443 |
418 |
$35K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
918 |
883 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
715 |
671 |
$31K |
| 99459 |
|
1,289 |
1,239 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
154 |
149 |
$24K |
| 76801 |
|
186 |
178 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
101 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
129 |
121 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
112 |
100 |
$12K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
730 |
685 |
$10K |
| 81025 |
|
1,466 |
1,382 |
$7K |
| 90674 |
|
326 |
313 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
38 |
$4K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$3K |
| 76818 |
|
33 |
25 |
$3K |
| 90715 |
|
98 |
88 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,519 |
1,297 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
104 |
$2K |
| 81002 |
|
677 |
634 |
$1K |
| 58300 |
|
14 |
14 |
$1K |
| 58301 |
|
13 |
12 |
$978.79 |
| 96160 |
|
24 |
24 |
$55.73 |
| 98960 |
|
840 |
819 |
$0.00 |
| 3725F |
|
216 |
208 |
$0.00 |
| 0502F |
|
390 |
306 |
$0.00 |