| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,099 |
16,330 |
$904K |
| 76830 |
Ultrasound, transvaginal |
3,068 |
2,866 |
$266K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,618 |
1,557 |
$161K |
| 59430 |
|
1,267 |
1,099 |
$112K |
| 59514 |
|
172 |
170 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,482 |
1,446 |
$90K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
994 |
959 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,577 |
1,025 |
$66K |
| 81002 |
|
22,215 |
12,312 |
$50K |
| 59025 |
Fetal non-stress test |
1,268 |
720 |
$44K |
| 99000 |
|
4,034 |
3,876 |
$41K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
69 |
67 |
$37K |
| 81025 |
|
3,709 |
3,253 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
251 |
248 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
112 |
104 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
354 |
282 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
371 |
226 |
$4K |
| 76801 |
|
27 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
13 |
$1K |
| 3754F |
|
49 |
41 |
$0.00 |
| 2000F |
|
152 |
125 |
$0.00 |
| 3008F |
|
130 |
108 |
$0.00 |