| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,517 |
1,570 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,423 |
2,469 |
$124K |
| 76818 |
|
548 |
181 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
488 |
460 |
$39K |
| 76830 |
Ultrasound, transvaginal |
209 |
176 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
196 |
184 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
161 |
150 |
$16K |
| 81002 |
|
2,746 |
1,606 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
13 |
$8K |
| 59430 |
|
82 |
76 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
16 |
15 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
56 |
$2K |
| 81003 |
|
2,198 |
1,479 |
$2K |
| 81025 |
|
180 |
160 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$219.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$171.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$86.25 |
| 90715 |
|
13 |
12 |
$76.20 |
| 99072 |
|
152 |
120 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
376 |
319 |
$0.00 |