| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,601 |
23,325 |
$1.28M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,007 |
3,253 |
$265K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,197 |
1,922 |
$135K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,296 |
1,220 |
$118K |
| 76813 |
|
1,023 |
961 |
$84K |
| 76830 |
Ultrasound, transvaginal |
1,240 |
1,197 |
$82K |
| H1000 |
Prenatal care, at-risk assessment |
617 |
534 |
$58K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
757 |
370 |
$51K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
296 |
274 |
$45K |
| 76801 |
|
619 |
569 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
478 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
430 |
422 |
$27K |
| 81025 |
|
2,654 |
2,477 |
$15K |
| 59430 |
|
160 |
155 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
94 |
$9K |
| 99385 |
|
101 |
89 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
37 |
$4K |
| 59025 |
Fetal non-stress test |
117 |
83 |
$3K |
| 99459 |
|
159 |
158 |
$2K |
| 90715 |
|
31 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
51 |
$935.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
51 |
$809.34 |
| 90674 |
|
31 |
23 |
$649.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$557.41 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$411.04 |
| 99421 |
|
16 |
14 |
$166.67 |
| 83986 |
|
41 |
39 |
$141.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$124.45 |