| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,446 |
35,922 |
$3.32M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20,530 |
11,298 |
$1.93M |
| 76830 |
Ultrasound, transvaginal |
15,883 |
14,731 |
$1.70M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16,292 |
14,908 |
$1.45M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13,745 |
7,741 |
$1.09M |
| 58558 |
|
1,319 |
1,154 |
$1.09M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
11,444 |
5,658 |
$854K |
| 93976 |
|
8,553 |
8,118 |
$601K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,811 |
5,697 |
$597K |
| 76820 |
|
11,822 |
5,916 |
$478K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,074 |
3,914 |
$433K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,954 |
3,575 |
$409K |
| 99385 |
|
2,556 |
2,469 |
$280K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,083 |
2,938 |
$243K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,593 |
1,293 |
$242K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
334 |
329 |
$228K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
81 |
81 |
$183K |
| 76801 |
|
1,877 |
1,422 |
$176K |
| 99386 |
|
1,244 |
1,178 |
$150K |
| 57454 |
|
1,081 |
1,004 |
$142K |
| 81025 |
|
24,386 |
20,357 |
$131K |
| 59514 |
|
157 |
154 |
$117K |
| 76821 |
|
1,279 |
677 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
506 |
$73K |
| 59025 |
Fetal non-stress test |
2,556 |
1,872 |
$62K |
| 76813 |
|
568 |
515 |
$55K |
| 81002 |
|
16,135 |
13,985 |
$41K |
| 99442 |
|
524 |
487 |
$39K |
| 59510 |
|
13 |
13 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
280 |
237 |
$31K |
| 99403 |
|
495 |
458 |
$31K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
269 |
239 |
$29K |
| 54160 |
|
172 |
150 |
$26K |
| 99441 |
|
515 |
482 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
205 |
174 |
$22K |
| 57465 |
|
464 |
413 |
$19K |
| 58661 |
|
39 |
39 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
615 |
602 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
185 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
87 |
78 |
$5K |
| 99402 |
|
102 |
102 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
20 |
13 |
$2K |
| 99401 |
|
82 |
79 |
$1K |
| 58300 |
|
15 |
12 |
$1K |
| 57511 |
|
12 |
12 |
$1K |
| 99051 |
|
64 |
56 |
$93.00 |
| 0502F |
|
5,056 |
2,782 |
$0.00 |
| A4402 |
Lubricant, per ounce |
52 |
51 |
$0.00 |
| 64488 |
|
28 |
25 |
$0.00 |
| 0503F |
|
189 |
171 |
$0.00 |