| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,951 |
3,577 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,618 |
2,321 |
$165K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
864 |
850 |
$79K |
| 81025 |
|
2,752 |
2,638 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
211 |
185 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
912 |
891 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
125 |
92 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
14 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$7K |
| 81002 |
|
1,781 |
1,744 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263 |
245 |
$4K |
| 76830 |
Ultrasound, transvaginal |
67 |
66 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$342.82 |