| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,367 |
2,074 |
$96K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,263 |
1,207 |
$77K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
263 |
263 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
271 |
$17K |
| 76813 |
|
195 |
189 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
91 |
$8K |
| 76830 |
Ultrasound, transvaginal |
73 |
70 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
78 |
$5K |
| 76801 |
|
65 |
64 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
147 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
45 |
41 |
$2K |
| 81025 |
|
148 |
146 |
$961.89 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
28 |
28 |
$648.32 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$597.40 |
| 76820 |
|
23 |
14 |
$591.68 |
| 81002 |
|
120 |
117 |
$286.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$73.80 |
| 81003 |
|
38 |
38 |
$71.84 |
| 0500F |
|
32 |
32 |
$0.00 |