| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,970 |
9,127 |
$605K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
252 |
239 |
$157K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
736 |
702 |
$67K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
941 |
869 |
$57K |
| 99215 |
Prolong outpt/office vis |
611 |
589 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
862 |
851 |
$52K |
| 76801 |
|
704 |
641 |
$49K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
596 |
569 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,107 |
1,077 |
$31K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,107 |
1,077 |
$30K |
| H1000 |
Prenatal care, at-risk assessment |
556 |
457 |
$23K |
| 59430 |
|
197 |
186 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
204 |
$13K |
| 81025 |
|
1,578 |
1,474 |
$9K |
| 87660 |
|
531 |
507 |
$9K |
| 87480 |
|
511 |
488 |
$9K |
| 87510 |
|
511 |
488 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
87 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
201 |
$3K |
| 81002 |
|
855 |
804 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
81 |
$1K |
| 99201 |
|
26 |
24 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$795.36 |
| 82270 |
|
125 |
124 |
$360.11 |
| 87210 |
|
30 |
26 |
$9.24 |