| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,703 |
8,388 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,757 |
12,913 |
$629K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,973 |
3,458 |
$318K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,047 |
2,946 |
$274K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
365 |
357 |
$230K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,353 |
3,250 |
$211K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,194 |
2,141 |
$124K |
| 87660 |
|
7,151 |
6,914 |
$123K |
| 87480 |
|
7,082 |
6,851 |
$121K |
| 87510 |
|
7,081 |
6,850 |
$120K |
| 99235 |
|
1,344 |
1,104 |
$97K |
| 76801 |
|
1,052 |
973 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
761 |
706 |
$55K |
| 59025 |
Fetal non-stress test |
2,320 |
726 |
$44K |
| 81025 |
|
6,167 |
5,803 |
$38K |
| 87220 |
|
12,051 |
10,803 |
$38K |
| 59430 |
|
506 |
486 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,511 |
961 |
$29K |
| 59514 |
|
45 |
41 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
354 |
347 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
975 |
894 |
$21K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,370 |
1,311 |
$19K |
| 87210 |
|
12,030 |
10,774 |
$17K |
| 99385 |
|
246 |
238 |
$16K |
| H1000 |
Prenatal care, at-risk assessment |
1,370 |
1,311 |
$16K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$13K |
| 54150 |
|
252 |
245 |
$13K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
365 |
348 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
366 |
348 |
$13K |
| 81002 |
|
4,853 |
4,598 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
161 |
$4K |
| 99219 |
|
88 |
79 |
$4K |
| 99217 |
|
77 |
65 |
$2K |
| 58300 |
|
12 |
12 |
$636.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$194.34 |