| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,673 |
12,435 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,327 |
3,865 |
$197K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,870 |
1,768 |
$136K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
118 |
98 |
$79K |
| 76830 |
Ultrasound, transvaginal |
905 |
832 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
602 |
478 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
274 |
255 |
$23K |
| 59514 |
|
35 |
26 |
$18K |
| 76818 |
|
225 |
116 |
$15K |
| 76813 |
|
179 |
163 |
$14K |
| 59430 |
|
158 |
153 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
771 |
610 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
149 |
106 |
$8K |
| 99459 |
|
506 |
474 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
48 |
45 |
$5K |
| 87210 |
|
893 |
818 |
$4K |
| 76801 |
|
50 |
46 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
171 |
151 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
136 |
114 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$925.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
64 |
$760.69 |
| 36415 |
Collection of venous blood by venipuncture |
363 |
320 |
$612.46 |
| 90715 |
|
14 |
12 |
$289.00 |
| 90674 |
|
13 |
13 |
$223.90 |
| 81003 |
|
465 |
294 |
$203.32 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
13 |
$168.83 |
| 81025 |
|
14 |
12 |
$94.71 |
| 81002 |
|
184 |
146 |
$48.72 |