| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,167 |
6,210 |
$337K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
360 |
357 |
$206K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
652 |
642 |
$67K |
| 59430 |
|
639 |
605 |
$54K |
| 59514 |
|
83 |
79 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
517 |
509 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
483 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
320 |
305 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
243 |
242 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
211 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
153 |
143 |
$11K |
| 81002 |
|
3,745 |
2,707 |
$10K |
| 81025 |
|
1,285 |
1,251 |
$8K |
| 76801 |
|
61 |
55 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
37 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
38 |
$2K |
| 76818 |
|
20 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
19 |
$992.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$229.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$135.32 |
| 99459 |
|
58 |
58 |
$0.00 |