| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,966 |
5,516 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,259 |
1,869 |
$72K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
76 |
64 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
949 |
793 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,923 |
1,687 |
$36K |
| 54150 |
|
368 |
311 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,423 |
1,161 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
710 |
650 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
258 |
$18K |
| 59025 |
Fetal non-stress test |
1,555 |
563 |
$15K |
| 76801 |
|
526 |
447 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
189 |
176 |
$8K |
| 76830 |
Ultrasound, transvaginal |
642 |
536 |
$7K |
| 99205 |
Prolong outpt/office vis |
45 |
40 |
$4K |
| G9357 |
Post-partum screenings, evaluations and education performed |
92 |
64 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
55 |
37 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
172 |
$2K |
| 54160 |
|
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
189 |
148 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
44 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
655 |
588 |
$544.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
22 |
$509.97 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$481.76 |
| 81002 |
|
2,270 |
1,369 |
$365.40 |
| 81025 |
|
28 |
25 |
$36.40 |
| 85018 |
|
550 |
473 |
$31.46 |
| 3078F |
|
1,540 |
1,370 |
$0.00 |
| 1160F |
|
1,792 |
1,554 |
$0.00 |
| 3077F |
|
37 |
37 |
$0.00 |
| 3008F |
|
3,163 |
2,746 |
$0.00 |
| 3079F |
|
592 |
542 |
$0.00 |
| 3075F |
|
78 |
73 |
$0.00 |
| 3074F |
|
2,244 |
1,961 |
$0.00 |
| 1036F |
|
1,822 |
1,567 |
$0.00 |
| 3080F |
|
32 |
29 |
$0.00 |