| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,371 |
5,066 |
$1.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,595 |
9,183 |
$953K |
| 76830 |
Ultrasound, transvaginal |
5,030 |
5,016 |
$635K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,242 |
2,095 |
$271K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,043 |
2,040 |
$262K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,112 |
2,112 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,682 |
1,595 |
$213K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,920 |
1,779 |
$178K |
| 76801 |
|
1,162 |
1,031 |
$150K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
92 |
90 |
$135K |
| 76820 |
|
1,884 |
1,745 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
506 |
505 |
$85K |
| 81025 |
|
9,541 |
8,235 |
$70K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
347 |
344 |
$67K |
| 99215 |
Prolong outpt/office vis |
317 |
317 |
$52K |
| 99205 |
Prolong outpt/office vis |
252 |
251 |
$48K |
| 81002 |
|
17,796 |
11,996 |
$47K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
241 |
241 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
163 |
135 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
267 |
267 |
$14K |
| 99386 |
|
26 |
26 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,764 |
4,234 |
$1K |