| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,487 |
5,546 |
$370K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,554 |
987 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,054 |
867 |
$64K |
| 99215 |
Prolong outpt/office vis |
600 |
532 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
471 |
424 |
$27K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
283 |
220 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
169 |
149 |
$24K |
| 81002 |
|
9,840 |
6,224 |
$16K |
| H1000 |
Prenatal care, at-risk assessment |
186 |
125 |
$13K |
| 81025 |
|
2,077 |
1,733 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,224 |
3,313 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,232 |
998 |
$9K |
| 59025 |
Fetal non-stress test |
313 |
144 |
$8K |
| 76801 |
|
114 |
91 |
$8K |
| 59410 |
|
12 |
12 |
$6K |
| 96127 |
|
1,859 |
1,662 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
319 |
248 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
56 |
30 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
49 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
61 |
$1K |
| 59430 |
|
13 |
12 |
$894.31 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$800.20 |
| 99201 |
|
12 |
12 |
$338.74 |
| 59899 |
|
30 |
12 |
$240.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
12,152 |
7,701 |
$0.00 |
| 3725F |
|
1,836 |
1,651 |
$0.00 |
| 99000 |
|
33 |
32 |
$0.00 |