| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,082 |
13,152 |
$1.45M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,230 |
3,016 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,449 |
1,839 |
$283K |
| 76830 |
Ultrasound, transvaginal |
2,729 |
2,405 |
$235K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,753 |
2,429 |
$194K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,077 |
1,000 |
$127K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
11,882 |
7,166 |
$112K |
| 59430 |
|
1,223 |
1,090 |
$111K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,593 |
1,284 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
468 |
426 |
$73K |
| 76801 |
|
717 |
574 |
$60K |
| H1000 |
Prenatal care, at-risk assessment |
1,470 |
1,346 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
467 |
425 |
$45K |
| 81025 |
|
3,831 |
3,535 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
246 |
214 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,497 |
1,344 |
$21K |
| 99385 |
|
157 |
148 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
305 |
$15K |
| 59410 |
|
15 |
15 |
$14K |
| 3015F |
|
458 |
450 |
$9K |
| 99050 |
|
1,082 |
964 |
$9K |
| 54150 |
|
61 |
51 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
12 |
$2K |
| 81002 |
|
519 |
490 |
$1K |
| 0502F |
|
1,692 |
1,367 |
$157.50 |