| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,707 |
2,944 |
$370K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
468 |
438 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
364 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
243 |
233 |
$15K |
| 99215 |
Prolong outpt/office vis |
128 |
120 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
157 |
144 |
$9K |
| 81002 |
|
3,922 |
2,301 |
$8K |
| 59025 |
Fetal non-stress test |
274 |
165 |
$6K |
| 59430 |
|
43 |
36 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
75 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
30 |
$463.56 |