| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,109 |
21,147 |
$860K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,248 |
11,416 |
$666K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
754 |
708 |
$65K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
916 |
790 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
652 |
597 |
$38K |
| 81025 |
|
3,716 |
3,474 |
$23K |
| 59430 |
|
314 |
272 |
$23K |
| 76801 |
|
308 |
269 |
$21K |
| 76830 |
Ultrasound, transvaginal |
168 |
161 |
$14K |
| 81002 |
|
3,113 |
2,302 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
177 |
$8K |
| 76813 |
|
109 |
100 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
633 |
613 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
72 |
$5K |
| 90688 |
|
306 |
300 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
185 |
174 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
50 |
$4K |
| 99385 |
|
57 |
51 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
51 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
121 |
$1K |
| 90715 |
|
41 |
41 |
$1K |
| 87210 |
|
247 |
230 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
77 |
$881.20 |
| 96127 |
|
428 |
332 |
$262.52 |
| 90686 |
|
12 |
12 |
$184.50 |
| 81003 |
|
82 |
61 |
$10.37 |