| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,638 |
10,513 |
$545K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,748 |
6,726 |
$532K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
392 |
372 |
$231K |
| 59430 |
|
788 |
682 |
$39K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
466 |
315 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
276 |
258 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
352 |
301 |
$18K |
| 99205 |
Prolong outpt/office vis |
98 |
98 |
$12K |
| 99215 |
Prolong outpt/office vis |
151 |
141 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
147 |
134 |
$9K |
| 59514 |
|
17 |
16 |
$9K |
| H0049 |
Alcohol and/or drug screening |
609 |
557 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
194 |
155 |
$4K |
| 54150 |
|
30 |
29 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
92 |
85 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
174 |
$2K |
| 90674 |
|
109 |
104 |
$2K |
| 81025 |
|
368 |
352 |
$2K |
| 90686 |
|
76 |
69 |
$1K |
| 99072 |
|
1,213 |
923 |
$0.00 |
| 0503F |
|
826 |
670 |
$0.00 |