| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,098 |
8,177 |
$807K |
| 76830 |
Ultrasound, transvaginal |
4,511 |
4,376 |
$477K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,549 |
3,547 |
$458K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,380 |
1,829 |
$392K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,414 |
1,414 |
$169K |
| 99386 |
|
592 |
591 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
687 |
682 |
$61K |
| 59025 |
Fetal non-stress test |
1,062 |
394 |
$53K |
| 81002 |
|
16,733 |
13,047 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
242 |
$31K |
| 99215 |
Prolong outpt/office vis |
191 |
172 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
175 |
175 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$20K |
| 81025 |
|
2,563 |
2,390 |
$17K |
| 76813 |
|
101 |
101 |
$13K |
| 99205 |
Prolong outpt/office vis |
53 |
51 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
498 |
468 |
$8K |
| 90715 |
|
192 |
192 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
651 |
638 |
$6K |
| 57454 |
|
26 |
26 |
$5K |
| 85013 |
|
778 |
764 |
$4K |
| 90658 |
|
168 |
168 |
$3K |
| 99385 |
|
14 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$2.70 |