| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,423 |
2,982 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,487 |
1,179 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
323 |
289 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
63 |
53 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
231 |
204 |
$14K |
| 59430 |
|
168 |
150 |
$13K |
| 81002 |
|
5,108 |
3,337 |
$12K |
| 76830 |
Ultrasound, transvaginal |
114 |
105 |
$9K |
| 76801 |
|
90 |
86 |
$7K |
| 81025 |
|
1,060 |
933 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
83 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
50 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
57 |
39 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
31 |
31 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
30 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$871.98 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$762.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
40 |
$425.38 |
| 99000 |
|
52 |
42 |
$412.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$299.19 |
| 96161 |
|
13 |
13 |
$0.00 |