| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,949 |
10,499 |
$788K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
272 |
268 |
$575K |
| 76830 |
Ultrasound, transvaginal |
1,583 |
1,532 |
$185K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,423 |
1,240 |
$120K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,220 |
1,125 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
728 |
694 |
$91K |
| 59510 |
|
38 |
38 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
691 |
647 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
404 |
396 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
305 |
282 |
$29K |
| 81025 |
|
7,074 |
6,473 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
255 |
$26K |
| 99385 |
|
214 |
208 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
914 |
870 |
$15K |
| 99459 |
|
597 |
513 |
$11K |
| 59425 |
|
14 |
13 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
48 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$4K |
| 76801 |
|
24 |
24 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
60 |
48 |
$2K |
| 0500F |
|
165 |
149 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
74 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
45 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 99401 |
|
35 |
34 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
45 |
44 |
$671.16 |
| H0049 |
Alcohol and/or drug screening |
130 |
113 |
$361.81 |
| 0503F |
|
15 |
15 |
$160.00 |