| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,035 |
13,887 |
$708K |
| 76830 |
Ultrasound, transvaginal |
4,154 |
3,817 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,848 |
1,661 |
$105K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,858 |
1,514 |
$103K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,656 |
1,625 |
$101K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
952 |
902 |
$79K |
| 81025 |
|
4,281 |
4,002 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,679 |
1,608 |
$21K |
| 81002 |
|
8,504 |
6,394 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
182 |
180 |
$12K |
| 59025 |
Fetal non-stress test |
351 |
191 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
89 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
142 |
127 |
$8K |
| 59514 |
|
13 |
12 |
$7K |
| H1000 |
Prenatal care, at-risk assessment |
130 |
113 |
$1K |
| 99385 |
|
16 |
16 |
$1K |
| 59430 |
|
13 |
13 |
$994.76 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
44 |
41 |
$662.99 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
370 |
318 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
364 |
273 |
$0.00 |
| 1036F |
|
1,140 |
864 |
$0.00 |
| 4004F |
|
282 |
238 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
618 |
483 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,361 |
1,052 |
$0.00 |