| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,624 |
7,650 |
$408K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,466 |
1,318 |
$132K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
922 |
763 |
$63K |
| 76830 |
Ultrasound, transvaginal |
652 |
602 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
517 |
473 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
713 |
651 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,039 |
934 |
$32K |
| 59025 |
Fetal non-stress test |
836 |
622 |
$31K |
| 59426 |
|
59 |
40 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
215 |
203 |
$17K |
| 81025 |
|
1,374 |
1,267 |
$9K |
| 59425 |
|
15 |
13 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
55 |
$3K |
| G9001 |
Coordinated care fee, initial rate |
89 |
86 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
199 |
$2K |
| 90686 |
|
91 |
88 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
62 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$854.56 |
| 90715 |
|
12 |
12 |
$506.64 |
| 87210 |
|
73 |
65 |
$271.23 |
| Q0112 |
All potassium hydroxide (koh) preparations |
60 |
53 |
$125.97 |
| 81002 |
|
12 |
12 |
$35.97 |