| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,305 |
8,687 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,311 |
6,637 |
$330K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
510 |
473 |
$275K |
| 76830 |
Ultrasound, transvaginal |
1,868 |
1,737 |
$171K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,206 |
1,140 |
$157K |
| 99236 |
Prolong inpt eval add15 m |
778 |
653 |
$116K |
| 59430 |
|
928 |
881 |
$80K |
| 76820 |
|
2,916 |
2,122 |
$76K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,203 |
644 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
919 |
873 |
$65K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
460 |
396 |
$38K |
| 81003 |
|
18,519 |
10,945 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
444 |
443 |
$30K |
| 81025 |
|
2,280 |
2,120 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
135 |
$12K |
| 99385 |
|
97 |
96 |
$8K |
| 59514 |
|
15 |
12 |
$6K |
| S8301 |
Infection control supplies, not otherwise specified |
3,343 |
1,768 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
47 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
5,200 |
4,532 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
147 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
148 |
147 |
$2K |
| 81000 |
|
526 |
290 |
$946.40 |
| 81002 |
|
324 |
280 |
$533.91 |
| 88142 |
|
17 |
14 |
$105.10 |