| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,760 |
18,385 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,493 |
2,144 |
$209K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,848 |
1,751 |
$123K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
75 |
62 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,406 |
1,283 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
284 |
274 |
$29K |
| 81003 |
|
12,440 |
9,255 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
326 |
$25K |
| 81025 |
|
3,681 |
3,399 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
158 |
153 |
$17K |
| 76830 |
Ultrasound, transvaginal |
166 |
157 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
92 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
155 |
146 |
$12K |
| 59025 |
Fetal non-stress test |
448 |
338 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,136 |
1,989 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
99 |
$6K |
| 81002 |
|
1,584 |
1,176 |
$5K |
| 59430 |
|
29 |
28 |
$5K |
| 85018 |
|
1,493 |
1,413 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
101 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$1K |
| 90715 |
|
29 |
28 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$698.71 |
| 90656 |
|
18 |
17 |
$283.67 |
| 90686 |
|
13 |
13 |
$197.04 |