| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,718 |
2,669 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,498 |
3,426 |
$209K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,078 |
953 |
$85K |
| 99215 |
Prolong outpt/office vis |
627 |
577 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
70 |
67 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
533 |
496 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
510 |
466 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
544 |
455 |
$23K |
| 59025 |
Fetal non-stress test |
870 |
466 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,342 |
1,205 |
$14K |
| 59430 |
|
125 |
122 |
$12K |
| 81025 |
|
1,913 |
1,744 |
$10K |
| 76801 |
|
120 |
104 |
$9K |
| 76830 |
Ultrasound, transvaginal |
96 |
91 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
37 |
$3K |
| 81002 |
|
2,075 |
1,242 |
$2K |
| 99201 |
|
41 |
40 |
$1K |
| 85018 |
|
109 |
102 |
$198.36 |
| 80305 |
|
19 |
16 |
$164.34 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
478 |
421 |
$0.00 |
| 3015F |
|
853 |
753 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
395 |
350 |
$0.00 |
| 0500F |
|
1,516 |
986 |
$0.00 |