| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,822 |
15,638 |
$894K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,774 |
4,792 |
$504K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,513 |
4,100 |
$431K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,139 |
1,947 |
$221K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,850 |
2,568 |
$207K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
891 |
788 |
$109K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,593 |
1,277 |
$98K |
| 76801 |
|
1,047 |
933 |
$90K |
| 76820 |
|
1,083 |
509 |
$40K |
| 59025 |
Fetal non-stress test |
1,670 |
1,148 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
465 |
448 |
$36K |
| 81002 |
|
12,734 |
9,206 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
433 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
43 |
42 |
$27K |
| 81000 |
|
6,880 |
5,434 |
$23K |
| 81025 |
|
2,939 |
2,728 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
252 |
243 |
$18K |
| 59430 |
|
220 |
182 |
$17K |
| 76830 |
Ultrasound, transvaginal |
180 |
173 |
$17K |
| 76821 |
|
135 |
70 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
634 |
510 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
92 |
69 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
55 |
$2K |
| 90715 |
|
69 |
57 |
$2K |
| 90686 |
|
141 |
113 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19 |
17 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$684.92 |
| 96127 |
|
378 |
349 |
$17.40 |
| 0502F |
|
8,402 |
5,827 |
$0.03 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
84 |
$0.00 |
| 3008F |
|
44 |
42 |
$0.00 |