| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,657 |
3,301 |
$215K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
36 |
35 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
120 |
118 |
$23K |
| 59025 |
Fetal non-stress test |
433 |
357 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
134 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,661 |
3,420 |
$10K |
| 76830 |
Ultrasound, transvaginal |
108 |
102 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
78 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
140 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
71 |
66 |
$5K |
| 99000 |
|
2,989 |
2,824 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
66 |
64 |
$4K |
| 76813 |
|
32 |
32 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
198 |
192 |
$2K |
| 81002 |
|
487 |
473 |
$1K |
| 76801 |
|
15 |
15 |
$1K |
| 90715 |
|
26 |
26 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
50 |
$959.42 |
| 96127 |
|
37 |
37 |
$670.14 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
21 |
$630.00 |
| 85018 |
|
167 |
143 |
$279.67 |
| 0502F |
|
264 |
91 |
$0.00 |