| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,764 |
7,620 |
$487K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
646 |
641 |
$410K |
| 59514 |
|
370 |
363 |
$234K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,467 |
3,127 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,489 |
1,477 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
997 |
969 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,295 |
1,198 |
$92K |
| 76830 |
Ultrasound, transvaginal |
1,308 |
1,259 |
$79K |
| 76801 |
|
1,101 |
1,012 |
$78K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
808 |
796 |
$52K |
| 59430 |
|
644 |
631 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,008 |
929 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
502 |
491 |
$32K |
| 87660 |
|
1,547 |
1,483 |
$29K |
| 87480 |
|
1,526 |
1,464 |
$29K |
| 87510 |
|
1,524 |
1,462 |
$29K |
| 54150 |
|
594 |
551 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
435 |
371 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
393 |
368 |
$21K |
| H1000 |
Prenatal care, at-risk assessment |
1,491 |
1,468 |
$18K |
| 59025 |
Fetal non-stress test |
500 |
350 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
147 |
89 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
868 |
805 |
$12K |
| 81025 |
|
1,571 |
1,512 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
782 |
703 |
$10K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
987 |
946 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
274 |
$5K |
| 90686 |
|
183 |
163 |
$3K |
| 81002 |
|
1,309 |
1,203 |
$3K |
| 82274 |
|
204 |
199 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
41 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 90682 |
|
32 |
30 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
12 |
$784.83 |
| 90715 |
|
15 |
14 |
$446.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$420.26 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$362.04 |
| 96127 |
|
88 |
88 |
$340.69 |