| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,691 |
16,325 |
$760K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,081 |
5,785 |
$409K |
| 59025 |
Fetal non-stress test |
3,488 |
2,673 |
$84K |
| 81002 |
|
26,321 |
20,455 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
738 |
669 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
551 |
507 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
325 |
314 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
391 |
378 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
83 |
83 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
100 |
$8K |
| 81025 |
|
1,127 |
1,056 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
128 |
$3K |
| 99385 |
|
27 |
25 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
59 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
13 |
$555.57 |
| 90674 |
|
15 |
14 |
$323.64 |
| 99072 |
|
74 |
42 |
$20.00 |
| 888888 |
|
14 |
14 |
$0.00 |