| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,005 |
17,641 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,293 |
2,888 |
$369K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,120 |
2,907 |
$342K |
| 76830 |
Ultrasound, transvaginal |
3,867 |
3,361 |
$328K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,763 |
3,304 |
$261K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
18,110 |
10,437 |
$167K |
| 59430 |
|
1,247 |
1,050 |
$92K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
776 |
653 |
$74K |
| 81025 |
|
9,806 |
8,681 |
$58K |
| H1000 |
Prenatal care, at-risk assessment |
857 |
729 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,781 |
1,408 |
$23K |
| 81002 |
|
9,289 |
6,692 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
129 |
123 |
$16K |
| 0503F |
|
1,351 |
1,139 |
$14K |
| 59514 |
|
48 |
40 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
65 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
146 |
$8K |
| 99385 |
|
40 |
38 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
52 |
$5K |
| 76801 |
|
25 |
24 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
187 |
$2K |
| 90674 |
|
84 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 90686 |
|
98 |
78 |
$2K |
| 90688 |
|
88 |
67 |
$1K |
| 99050 |
|
124 |
103 |
$941.16 |
| 96160 |
|
196 |
174 |
$113.57 |
| 99442 |
|
19 |
13 |
$90.00 |
| 0502F |
|
692 |
437 |
$0.00 |