| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,703 |
30,890 |
$805K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,782 |
7,816 |
$755K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,536 |
3,011 |
$518K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,927 |
6,305 |
$507K |
| 76830 |
Ultrasound, transvaginal |
5,414 |
5,317 |
$486K |
| 76820 |
|
7,547 |
3,032 |
$288K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,138 |
2,104 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
940 |
900 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
840 |
806 |
$56K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
26 |
$43K |
| 81025 |
|
5,722 |
5,515 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
217 |
211 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
241 |
241 |
$21K |
| 76376 |
|
800 |
743 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 59514 |
|
14 |
14 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
74 |
68 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
62 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$2K |
| 76801 |
|
15 |
15 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 58301 |
|
12 |
12 |
$884.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$785.26 |
| 0503F |
|
31 |
27 |
$0.00 |
| 0501F |
|
14 |
13 |
$0.00 |
| 99024 |
|
17 |
13 |
$0.00 |