| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,404 |
8,330 |
$432K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,505 |
2,299 |
$141K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
90 |
84 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,205 |
2,689 |
$114K |
| 58558 |
|
100 |
85 |
$113K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
4,033 |
3,681 |
$112K |
| 76830 |
Ultrasound, transvaginal |
366 |
255 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
630 |
586 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
197 |
91 |
$13K |
| 57454 |
|
64 |
60 |
$12K |
| 99241 |
|
626 |
624 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
108 |
78 |
$12K |
| 59025 |
Fetal non-stress test |
396 |
240 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
751 |
716 |
$9K |
| 99442 |
|
112 |
102 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
40 |
$2K |
| 76801 |
|
29 |
26 |
$2K |
| 99243 |
|
53 |
50 |
$2K |
| 58100 |
|
38 |
38 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$506.52 |
| 88150 |
|
22 |
22 |
$225.72 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$216.17 |
| 59430 |
|
12 |
12 |
$200.00 |