| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,190 |
2,887 |
$282K |
| 99215 |
Prolong outpt/office vis |
1,686 |
1,427 |
$152K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,024 |
947 |
$118K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
764 |
736 |
$78K |
| 76830 |
Ultrasound, transvaginal |
582 |
556 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
393 |
381 |
$55K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
25 |
25 |
$52K |
| 99205 |
Prolong outpt/office vis |
280 |
267 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
202 |
$13K |
| 76801 |
|
55 |
52 |
$7K |
| 59430 |
|
122 |
114 |
$6K |
| 81025 |
|
1,398 |
1,248 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
181 |
168 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
74 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
13 |
$780.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
17 |
$340.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$204.44 |
| 81007 |
|
181 |
172 |
$133.35 |
| 81002 |
|
79 |
66 |
$92.92 |
| 0503F |
|
14 |
13 |
$0.00 |