| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,506 |
37,614 |
$2.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112,616 |
80,466 |
$1.91M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
990 |
939 |
$1.64M |
| 76830 |
Ultrasound, transvaginal |
12,119 |
11,486 |
$1.12M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,961 |
9,394 |
$841K |
| 59025 |
Fetal non-stress test |
19,342 |
13,527 |
$696K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,052 |
5,921 |
$474K |
| 81025 |
|
63,549 |
58,336 |
$400K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,141 |
2,119 |
$316K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,731 |
2,604 |
$299K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,607 |
3,517 |
$295K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,168 |
2,380 |
$276K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,348 |
2,303 |
$236K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,818 |
2,520 |
$205K |
| 81002 |
|
61,030 |
55,911 |
$155K |
| 76813 |
|
1,259 |
1,222 |
$122K |
| 99215 |
Prolong outpt/office vis |
946 |
901 |
$105K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,189 |
1,013 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,021 |
996 |
$67K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
918 |
698 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,665 |
2,206 |
$41K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,205 |
1,105 |
$34K |
| 76821 |
|
429 |
225 |
$33K |
| 76820 |
|
723 |
393 |
$27K |
| 99459 |
|
1,256 |
1,232 |
$23K |
| 59510 |
|
12 |
12 |
$20K |
| 76801 |
|
192 |
186 |
$20K |
| 97803 |
|
308 |
243 |
$18K |
| 59410 |
|
13 |
13 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
741 |
712 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$13K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$9K |
| 97802 |
|
70 |
69 |
$6K |
| 76825 |
|
26 |
26 |
$6K |
| 58300 |
|
98 |
97 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
49 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$4K |
| 99205 |
Prolong outpt/office vis |
35 |
33 |
$4K |
| 76827 |
|
68 |
65 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
85 |
85 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
106 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
50 |
$3K |
| 90715 |
|
94 |
93 |
$3K |
| 51784 |
|
46 |
25 |
$3K |
| 90686 |
|
120 |
120 |
$2K |
| 58100 |
|
25 |
24 |
$2K |
| 90688 |
|
139 |
120 |
$2K |
| 58301 |
|
18 |
17 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |
| 93325 |
|
59 |
57 |
$971.79 |
| 90656 |
|
13 |
13 |
$441.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$235.71 |
| 76376 |
|
41 |
40 |
$25.54 |