| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,705 |
3,296 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
3,162 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
366 |
357 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
63 |
$31K |
| 81003 |
|
8,196 |
5,571 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
221 |
194 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
161 |
158 |
$13K |
| 81025 |
|
1,352 |
1,284 |
$9K |
| 59430 |
|
97 |
93 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
77 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
80 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$3K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$2K |
| 90756 |
|
23 |
23 |
$552.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$279.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$180.32 |