| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,628 |
22,155 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,362 |
1,343 |
$92K |
| H1000 |
Prenatal care, at-risk assessment |
1,642 |
1,594 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
215 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
485 |
464 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
179 |
156 |
$12K |
| 76801 |
|
148 |
133 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
65 |
64 |
$4K |
| 59430 |
|
38 |
38 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$2K |
| 99406 |
|
196 |
189 |
$2K |
| 81025 |
|
184 |
182 |
$1K |
| 87210 |
|
246 |
241 |
$838.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$644.33 |
| 81002 |
|
277 |
260 |
$598.03 |
| 83986 |
|
29 |
29 |
$65.44 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$30.35 |