| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,096 |
12,261 |
$485K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,409 |
5,834 |
$401K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
272 |
169 |
$103K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,184 |
2,386 |
$92K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,113 |
6,199 |
$51K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,159 |
815 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,165 |
740 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
577 |
372 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
319 |
261 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
906 |
664 |
$13K |
| 81025 |
|
8,869 |
5,851 |
$11K |
| 59514 |
|
21 |
12 |
$7K |
| 59025 |
Fetal non-stress test |
2,733 |
1,222 |
$7K |
| 99215 |
Prolong outpt/office vis |
93 |
80 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
192 |
145 |
$5K |
| 99385 |
|
102 |
79 |
$5K |
| 99205 |
Prolong outpt/office vis |
76 |
52 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
77 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
773 |
536 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
8,028 |
4,489 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
37 |
$3K |
| 76801 |
|
301 |
200 |
$2K |
| 81000 |
|
5,930 |
3,016 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
144 |
85 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
18 |
15 |
$1K |
| 99219 |
|
17 |
15 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,147 |
630 |
$671.66 |
| 81003 |
|
10,765 |
6,544 |
$541.55 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
14 |
$335.53 |
| 82950 |
|
144 |
91 |
$69.20 |
| 76820 |
|
30 |
13 |
$52.86 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
271 |
179 |
$36.60 |
| 1101F |
|
139 |
111 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
73 |
64 |
$0.00 |
| 3288F |
|
117 |
92 |
$0.00 |