| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,994 |
3,410 |
$222K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,608 |
5,406 |
$156K |
| 76830 |
Ultrasound, transvaginal |
1,139 |
1,077 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
767 |
753 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
276 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 81025 |
|
797 |
697 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
58 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
100 |
83 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
103 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
30 |
26 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 81002 |
|
164 |
139 |
$398.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$351.17 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$147.95 |
| 99218 |
|
12 |
12 |
$0.00 |