| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,491 |
34,402 |
$2.06M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,225 |
4,994 |
$390K |
| 76830 |
Ultrasound, transvaginal |
3,212 |
3,056 |
$325K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,701 |
5,262 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,258 |
2,101 |
$165K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
57 |
52 |
$96K |
| 81002 |
|
38,204 |
24,637 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
942 |
870 |
$90K |
| 81025 |
|
12,943 |
12,051 |
$83K |
| 99000 |
|
37,711 |
34,886 |
$68K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
403 |
379 |
$46K |
| 0502F |
|
26,753 |
17,575 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
604 |
571 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,987 |
1,804 |
$26K |
| 59510 |
|
12 |
12 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
251 |
236 |
$20K |
| 99385 |
|
151 |
141 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
386 |
355 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
12 |
$10K |
| 99459 |
|
420 |
414 |
$6K |
| 96160 |
|
2,768 |
2,601 |
$5K |
| 54150 |
|
81 |
69 |
$4K |
| 82570 |
|
785 |
716 |
$3K |
| 76376 |
|
137 |
132 |
$2K |
| 87210 |
|
369 |
204 |
$2K |
| 57454 |
|
12 |
12 |
$2K |
| 81003 |
|
762 |
702 |
$1K |
| 59025 |
Fetal non-stress test |
57 |
41 |
$1K |
| 76813 |
|
14 |
14 |
$1K |
| 0501F |
|
887 |
844 |
$1K |
| 58301 |
|
13 |
13 |
$1K |
| 58300 |
|
15 |
15 |
$922.50 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$864.04 |
| 99442 |
|
13 |
13 |
$773.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$732.79 |
| 90715 |
|
13 |
13 |
$523.68 |
| 0503F |
|
207 |
196 |
$515.03 |
| 99406 |
|
18 |
13 |
$143.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$82.84 |
| 99024 |
|
63 |
57 |
$0.00 |