| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,154 |
31,127 |
$2.04M |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
17,976 |
16,569 |
$204K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,306 |
3,067 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,377 |
2,131 |
$145K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,995 |
1,824 |
$127K |
| 59025 |
Fetal non-stress test |
4,325 |
2,820 |
$113K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,221 |
1,021 |
$75K |
| H1000 |
Prenatal care, at-risk assessment |
1,474 |
1,249 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
866 |
798 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
679 |
638 |
$59K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
77 |
75 |
$48K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
186 |
70 |
$16K |
| 76830 |
Ultrasound, transvaginal |
229 |
209 |
$15K |
| 80305 |
|
1,403 |
1,207 |
$12K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
644 |
442 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
642 |
584 |
$9K |
| 59430 |
|
79 |
79 |
$7K |
| 81025 |
|
815 |
705 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
150 |
$4K |
| 82947 |
|
1,009 |
964 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
12 |
$994.30 |
| 99385 |
|
13 |
13 |
$898.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$713.35 |
| 85018 |
|
336 |
318 |
$669.03 |
| 99421 |
|
56 |
55 |
$600.25 |
| 81002 |
|
14 |
14 |
$24.14 |