| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,621 |
16,700 |
$898K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
709 |
677 |
$408K |
| 59430 |
|
902 |
861 |
$80K |
| 81002 |
|
24,945 |
16,056 |
$70K |
| 59514 |
|
104 |
101 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
643 |
626 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,079 |
1,050 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
963 |
778 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,675 |
1,562 |
$39K |
| 76801 |
|
422 |
403 |
$37K |
| 99220 |
|
159 |
133 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
119 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
170 |
153 |
$10K |
| 81025 |
|
1,200 |
1,145 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
44 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
39 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$1K |
| 99219 |
|
16 |
14 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$623.07 |
| 3008F |
|
1,967 |
1,407 |
$0.00 |
| 1036F |
|
10,030 |
6,562 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,043 |
5,246 |
$0.00 |
| 3079F |
|
343 |
294 |
$0.00 |
| 3061F |
|
124 |
99 |
$0.00 |
| 1125F |
|
62 |
57 |
$0.00 |
| 3044F |
|
138 |
102 |
$0.00 |
| 3074F |
|
2,057 |
1,511 |
$0.00 |
| 3075F |
|
37 |
30 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,356 |
9,280 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
4,711 |
3,076 |
$0.00 |
| 1159F |
|
2,127 |
1,518 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
406 |
376 |
$0.00 |
| 3078F |
|
1,796 |
1,359 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,464 |
957 |
$0.00 |