| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,159 |
27,792 |
$1.88M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
724 |
698 |
$613K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,980 |
4,377 |
$395K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,956 |
4,422 |
$331K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,406 |
4,223 |
$281K |
| 59514 |
|
359 |
336 |
$137K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,421 |
1,087 |
$86K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,432 |
1,320 |
$75K |
| 99215 |
Prolong outpt/office vis |
864 |
822 |
$73K |
| 99219 |
|
1,290 |
885 |
$70K |
| 76801 |
|
883 |
746 |
$68K |
| 59430 |
|
581 |
553 |
$54K |
| 81025 |
|
6,534 |
5,832 |
$37K |
| 76830 |
Ultrasound, transvaginal |
567 |
512 |
$36K |
| 59025 |
Fetal non-stress test |
1,968 |
1,140 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
250 |
190 |
$25K |
| 54160 |
|
147 |
134 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,012 |
1,931 |
$23K |
| 99205 |
Prolong outpt/office vis |
149 |
137 |
$17K |
| 99220 |
|
112 |
96 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
106 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
50 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
42 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
76 |
36 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
14 |
$1K |
| 99385 |
|
13 |
12 |
$850.37 |
| 76827 |
|
12 |
12 |
$777.27 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$696.34 |