| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,233 |
7,260 |
$2.19M |
| 76830 |
Ultrasound, transvaginal |
6,877 |
5,572 |
$811K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,055 |
2,964 |
$739K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,553 |
6,098 |
$683K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,176 |
3,758 |
$502K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,666 |
2,666 |
$317K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
189 |
189 |
$284K |
| 76820 |
|
5,229 |
2,241 |
$254K |
| 99215 |
Prolong outpt/office vis |
1,348 |
1,346 |
$227K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,773 |
1,519 |
$178K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,375 |
1,374 |
$178K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
800 |
800 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
546 |
546 |
$94K |
| 76801 |
|
623 |
622 |
$81K |
| 81002 |
|
31,549 |
16,585 |
$81K |
| 76813 |
|
623 |
622 |
$80K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
634 |
620 |
$57K |
| 59425 |
|
53 |
53 |
$24K |
| 59514 |
|
13 |
12 |
$18K |
| 81025 |
|
1,669 |
1,652 |
$11K |
| 90649 |
|
43 |
43 |
$8K |
| 90651 |
|
17 |
17 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$2K |
| 76998 |
|
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 82951 |
|
118 |
118 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
233 |
232 |
$0.00 |