| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,867 |
39,997 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,081 |
12,065 |
$788K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,658 |
5,274 |
$173K |
| 76830 |
Ultrasound, transvaginal |
2,356 |
2,162 |
$141K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,845 |
1,566 |
$116K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,351 |
1,221 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
809 |
758 |
$68K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
615 |
329 |
$34K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
720 |
478 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
588 |
528 |
$33K |
| 76801 |
|
475 |
430 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
440 |
377 |
$22K |
| 99459 |
|
1,389 |
1,274 |
$18K |
| 81025 |
|
2,970 |
2,759 |
$17K |
| 99215 |
Prolong outpt/office vis |
79 |
75 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
41 |
31 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
50 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,113 |
982 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$2K |
| 81002 |
|
601 |
424 |
$523.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$367.72 |
| 96160 |
|
157 |
149 |
$268.08 |
| 87210 |
|
13 |
12 |
$66.21 |
| 0502F |
|
2,288 |
1,769 |
$0.00 |
| 0503F |
|
91 |
90 |
$0.00 |
| 0501F |
|
13 |
12 |
$0.00 |