| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,794 |
1,304 |
$111K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
94 |
92 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
646 |
516 |
$31K |
| 99215 |
Prolong outpt/office vis |
329 |
301 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
157 |
154 |
$25K |
| 76818 |
|
244 |
138 |
$17K |
| 99205 |
Prolong outpt/office vis |
166 |
156 |
$14K |
| 76830 |
Ultrasound, transvaginal |
187 |
176 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
179 |
$11K |
| 76801 |
|
152 |
141 |
$10K |
| 59025 |
Fetal non-stress test |
377 |
200 |
$10K |
| 59514 |
|
13 |
12 |
$9K |
| 59430 |
|
106 |
104 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
112 |
104 |
$8K |
| 76813 |
|
86 |
84 |
$7K |
| 59899 |
|
153 |
146 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
63 |
$6K |
| 99219 |
|
95 |
78 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
58 |
$4K |
| 81000 |
|
1,108 |
743 |
$3K |
| 81025 |
|
446 |
409 |
$3K |
| 59020 |
|
63 |
39 |
$3K |
| 76820 |
|
58 |
30 |
$2K |
| 54160 |
|
20 |
19 |
$1K |
| 99385 |
|
17 |
16 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$956.43 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$806.12 |
| 81002 |
|
155 |
120 |
$342.24 |
| 36415 |
Collection of venous blood by venipuncture |
125 |
118 |
$254.27 |
| 82950 |
|
31 |
30 |
$158.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$92.53 |