| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,668 |
8,077 |
$990K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,678 |
8,203 |
$746K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,978 |
6,001 |
$546K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,115 |
3,094 |
$441K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,776 |
1,776 |
$234K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,540 |
2,540 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
967 |
966 |
$93K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
758 |
758 |
$69K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
613 |
611 |
$45K |
| 57150 |
|
413 |
410 |
$19K |
| 59025 |
Fetal non-stress test |
298 |
129 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
939 |
908 |
$11K |
| 99385 |
|
83 |
83 |
$9K |
| 81025 |
|
1,988 |
1,898 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
89 |
81 |
$7K |
| 90756 |
|
81 |
81 |
$2K |
| 99051 |
|
686 |
612 |
$2K |
| 59051 |
|
44 |
12 |
$2K |
| 99429 |
|
163 |
159 |
$920.00 |
| 57170 |
|
16 |
15 |
$770.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
16 |
$766.48 |
| 99401 |
|
161 |
161 |
$424.28 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$390.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$217.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
99 |
98 |
$80.00 |
| 91303 |
|
78 |
77 |
$0.00 |