| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,649 |
16,918 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,083 |
1,833 |
$101K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
768 |
739 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
703 |
663 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
467 |
451 |
$29K |
| 81025 |
|
4,312 |
3,910 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
350 |
295 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
837 |
745 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,230 |
1,154 |
$16K |
| 59025 |
Fetal non-stress test |
431 |
230 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
173 |
167 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
118 |
$11K |
| 76830 |
Ultrasound, transvaginal |
190 |
172 |
$11K |
| 59410 |
|
12 |
12 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
84 |
78 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
50 |
$2K |
| 99385 |
|
13 |
12 |
$952.10 |
| 99221 |
|
23 |
15 |
$826.56 |
| 81003 |
|
1,290 |
934 |
$755.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$688.77 |
| 76801 |
|
12 |
12 |
$647.02 |
| 99218 |
|
14 |
12 |
$616.68 |
| 36415 |
Collection of venous blood by venipuncture |
247 |
225 |
$615.99 |
| 90715 |
|
14 |
14 |
$498.96 |
| 81002 |
|
81 |
67 |
$64.01 |
| 87210 |
|
18 |
13 |
$62.61 |
| 81001 |
|
15 |
12 |
$21.12 |
| 99024 |
|
33 |
23 |
$0.25 |