| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,330 |
31,177 |
$1.93M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,972 |
17,402 |
$577K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,043 |
6,836 |
$477K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,504 |
3,399 |
$303K |
| 59430 |
|
3,146 |
2,631 |
$251K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,870 |
2,140 |
$234K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,310 |
2,841 |
$212K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
251 |
242 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,382 |
1,811 |
$140K |
| 0502F |
|
5,216 |
3,074 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,247 |
1,184 |
$121K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,514 |
1,457 |
$93K |
| 99205 |
Prolong outpt/office vis |
681 |
645 |
$82K |
| 59514 |
|
189 |
178 |
$78K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
743 |
694 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
496 |
459 |
$27K |
| 0500F |
|
4,055 |
3,757 |
$16K |
| 0503F |
|
3,099 |
2,587 |
$13K |
| 76830 |
Ultrasound, transvaginal |
136 |
128 |
$9K |
| 54150 |
|
52 |
50 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
824 |
404 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
90 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$876.36 |
| 81025 |
|
121 |
64 |
$363.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$176.40 |