| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,591 |
9,828 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,968 |
6,879 |
$316K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
141 |
$78K |
| 59430 |
|
439 |
426 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
417 |
408 |
$30K |
| 99000 |
|
2,714 |
2,449 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
538 |
510 |
$24K |
| 99243 |
|
166 |
160 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
110 |
108 |
$13K |
| 92567 |
|
972 |
924 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
161 |
146 |
$10K |
| 90715 |
|
378 |
355 |
$9K |
| 92557 |
|
264 |
260 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
250 |
$7K |
| 81025 |
|
932 |
874 |
$6K |
| 92587 |
|
284 |
274 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
510 |
$4K |
| 59410 |
|
25 |
25 |
$4K |
| 99460 |
|
46 |
46 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
316 |
292 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
16 |
16 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
51 |
51 |
$3K |
| 92579 |
|
62 |
61 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$2K |
| 90682 |
|
34 |
32 |
$2K |
| 81002 |
|
387 |
317 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
16 |
$891.28 |
| 90686 |
|
61 |
59 |
$754.38 |
| 59025 |
Fetal non-stress test |
34 |
29 |
$753.43 |
| 76801 |
|
16 |
13 |
$575.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
28 |
$556.64 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$448.58 |
| 90461 |
|
16 |
13 |
$87.83 |
| 3008F |
|
4,753 |
4,237 |
$0.18 |
| 3078F |
|
2,202 |
1,960 |
$0.04 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
27 |
$0.04 |
| 36415 |
Collection of venous blood by venipuncture |
742 |
688 |
$0.00 |
| 3079F |
|
177 |
170 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |