| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,511 |
7,960 |
$774K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
385 |
346 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
152 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
82 |
69 |
$7K |
| 59025 |
Fetal non-stress test |
151 |
106 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
45 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
39 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
221 |
172 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
37 |
36 |
$1K |
| 87210 |
|
133 |
80 |
$582.00 |
| 81025 |
|
58 |
56 |
$474.73 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
26 |
$0.00 |
| 3078F |
|
227 |
210 |
$0.00 |
| 3074F |
|
287 |
264 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |