| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,006 |
21,786 |
$2.18M |
| 76830 |
Ultrasound, transvaginal |
9,528 |
9,457 |
$1.11M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,826 |
6,826 |
$861K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,088 |
5,003 |
$759K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,583 |
3,580 |
$426K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,478 |
2,477 |
$299K |
| 99386 |
|
1,106 |
1,106 |
$170K |
| 57454 |
|
882 |
877 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,287 |
796 |
$141K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,029 |
822 |
$107K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
44 |
44 |
$71K |
| 58100 |
|
596 |
595 |
$65K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
5,208 |
5,208 |
$58K |
| 99442 |
|
634 |
584 |
$52K |
| 81025 |
|
7,149 |
6,846 |
$49K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$46K |
| 58558 |
|
24 |
24 |
$40K |
| 59430 |
|
243 |
237 |
$38K |
| 99385 |
|
219 |
219 |
$30K |
| 99215 |
Prolong outpt/office vis |
148 |
146 |
$24K |
| 99401 |
|
1,059 |
1,054 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
193 |
190 |
$14K |
| 83986 |
|
4,554 |
4,441 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
136 |
127 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
109 |
108 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
62 |
62 |
$9K |
| 81000 |
|
2,777 |
2,734 |
$7K |
| 81002 |
|
644 |
634 |
$1K |
| 58301 |
|
15 |
14 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 3008F |
|
27 |
27 |
$0.00 |