| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,137 |
7,107 |
$488K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,496 |
5,317 |
$290K |
| H1000 |
Prenatal care, at-risk assessment |
2,218 |
1,767 |
$187K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,662 |
1,618 |
$101K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
592 |
568 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
1,121 |
$72K |
| 76830 |
Ultrasound, transvaginal |
851 |
802 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
749 |
617 |
$46K |
| 59025 |
Fetal non-stress test |
1,215 |
483 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
158 |
124 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
547 |
$8K |
| 81025 |
|
982 |
956 |
$6K |
| 59430 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
49 |
$977.83 |
| 76801 |
|
12 |
12 |
$891.06 |
| 82274 |
|
13 |
12 |
$137.75 |
| 0502F |
|
1,012 |
613 |
$0.00 |