| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,525 |
8,266 |
$440K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,022 |
1,877 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,479 |
2,202 |
$140K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
171 |
155 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
206 |
180 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
15 |
$12K |
| 81025 |
|
1,043 |
969 |
$6K |
| 59430 |
|
107 |
91 |
$6K |
| 87210 |
|
1,164 |
1,046 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
179 |
$4K |
| 76830 |
Ultrasound, transvaginal |
53 |
51 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
27 |
$2K |
| 99000 |
|
7,417 |
6,317 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
38 |
$1K |
| 59025 |
Fetal non-stress test |
19 |
13 |
$418.66 |
| 81002 |
|
28 |
26 |
$24.15 |
| 81003 |
|
147 |
138 |
$16.17 |
| 81001 |
|
16 |
13 |
$15.42 |
| 888888 |
|
89 |
82 |
$0.00 |