| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,924 |
2,377 |
$136K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
874 |
851 |
$70K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
519 |
510 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,145 |
1,029 |
$34K |
| 76830 |
Ultrasound, transvaginal |
317 |
304 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
360 |
$28K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,406 |
1,335 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
163 |
137 |
$14K |
| 81025 |
|
1,078 |
1,020 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
139 |
130 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$4K |
| 99000 |
|
2,678 |
2,583 |
$4K |
| 99385 |
|
41 |
39 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
156 |
151 |
$2K |
| 54150 |
|
14 |
13 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$950.39 |
| 90715 |
|
13 |
13 |
$542.33 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
155 |
150 |
$489.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$293.91 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
570 |
568 |
$94.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$74.55 |
| 81003 |
|
25 |
24 |
$35.36 |