| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,029 |
15,294 |
$756K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,121 |
3,736 |
$267K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,611 |
2,434 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,287 |
4,216 |
$105K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,086 |
992 |
$85K |
| 81025 |
|
9,956 |
8,684 |
$50K |
| 76830 |
Ultrasound, transvaginal |
747 |
643 |
$41K |
| 81003 |
|
19,687 |
11,863 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
351 |
316 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
329 |
271 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
275 |
150 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,145 |
1,019 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
132 |
125 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
141 |
$7K |
| 99385 |
|
94 |
89 |
$6K |
| 59430 |
|
57 |
50 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
49 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
39 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$851.67 |
| 99386 |
|
12 |
12 |
$791.78 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
56 |
41 |
$390.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
114 |
$277.22 |