| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,551 |
15,758 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,597 |
18,297 |
$1.27M |
| 99215 |
Prolong outpt/office vis |
738 |
661 |
$87K |
| 81002 |
|
23,324 |
20,507 |
$73K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
603 |
582 |
$52K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
668 |
576 |
$45K |
| 81025 |
|
3,941 |
3,797 |
$30K |
| 85018 |
|
9,990 |
9,297 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
7,501 |
6,705 |
$20K |
| 76820 |
|
535 |
459 |
$20K |
| 59025 |
Fetal non-stress test |
592 |
529 |
$18K |
| 76830 |
Ultrasound, transvaginal |
211 |
193 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
90 |
87 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
80 |
75 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
51 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
51 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
79 |
78 |
$2K |
| 90686 |
|
91 |
91 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
193 |
$2K |
| 90715 |
|
38 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
48 |
$1K |
| 82950 |
|
82 |
80 |
$375.73 |
| 81003 |
|
136 |
123 |
$327.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
60 |
$276.57 |
| 96160 |
|
14 |
14 |
$182.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
15 |
$119.80 |
| 87210 |
|
29 |
27 |
$112.65 |
| 82947 |
|
13 |
13 |
$45.26 |