| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,275 |
10,924 |
$778K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,225 |
$83K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
91 |
91 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
324 |
295 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
264 |
221 |
$15K |
| 76830 |
Ultrasound, transvaginal |
121 |
106 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
263 |
192 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
155 |
146 |
$5K |
| 76801 |
|
75 |
62 |
$5K |
| 59430 |
|
30 |
26 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
83 |
$5K |
| 81025 |
|
566 |
494 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
78 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$2K |
| 54160 |
|
13 |
13 |
$2K |
| 90723 |
|
59 |
58 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$614.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$594.29 |
| 87210 |
|
124 |
110 |
$293.47 |
| 99459 |
|
17 |
15 |
$191.47 |
| 81000 |
|
56 |
50 |
$171.60 |
| 90647 |
|
12 |
12 |
$55.00 |
| 0502F |
|
159 |
103 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
498 |
405 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
48 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$0.00 |