| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,952 |
7,850 |
$497K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,426 |
2,786 |
$268K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,899 |
1,843 |
$190K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
790 |
676 |
$82K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
40 |
$58K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
922 |
794 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
413 |
$37K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
614 |
538 |
$30K |
| 59025 |
Fetal non-stress test |
1,317 |
1,097 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
845 |
691 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
151 |
$16K |
| 76830 |
Ultrasound, transvaginal |
225 |
182 |
$15K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
79 |
65 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
162 |
124 |
$11K |
| 99459 |
|
820 |
769 |
$9K |
| 76801 |
|
54 |
38 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
52 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
111 |
$4K |
| 87210 |
|
424 |
313 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
33 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
70 |
$979.94 |
| 96127 |
|
206 |
161 |
$650.41 |
| 90674 |
|
27 |
27 |
$527.00 |