| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,035 |
3,649 |
$245K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,136 |
1,110 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,245 |
2,356 |
$107K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
143 |
$84K |
| 99222 |
Initial hospital care, per day, moderate complexity |
884 |
820 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,281 |
718 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
897 |
838 |
$44K |
| 99215 |
Prolong outpt/office vis |
533 |
507 |
$37K |
| 99205 |
Prolong outpt/office vis |
205 |
201 |
$21K |
| 59430 |
|
181 |
179 |
$16K |
| 76801 |
|
176 |
168 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
619 |
574 |
$14K |
| 76830 |
Ultrasound, transvaginal |
91 |
91 |
$8K |
| 81025 |
|
1,226 |
1,163 |
$8K |
| 76857 |
|
152 |
148 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$942.22 |
| 99072 |
|
1,618 |
1,238 |
$610.57 |
| 81003 |
|
143 |
134 |
$271.97 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
90 |
$0.62 |