| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,546 |
7,640 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,664 |
4,067 |
$451K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,378 |
1,229 |
$147K |
| 76830 |
Ultrasound, transvaginal |
1,210 |
1,035 |
$104K |
| 99385 |
|
840 |
741 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
744 |
641 |
$97K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,212 |
1,039 |
$81K |
| 99459 |
|
2,452 |
1,307 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
334 |
$38K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
476 |
177 |
$28K |
| H1000 |
Prenatal care, at-risk assessment |
806 |
666 |
$25K |
| 81025 |
|
3,881 |
2,521 |
$19K |
| 3015F |
|
2,881 |
2,537 |
$14K |
| 81002 |
|
7,777 |
3,746 |
$14K |
| 76801 |
|
176 |
132 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
215 |
151 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
87 |
82 |
$10K |
| 99051 |
|
921 |
762 |
$10K |
| 59430 |
|
45 |
40 |
$5K |
| 59025 |
Fetal non-stress test |
189 |
128 |
$4K |
| 99386 |
|
27 |
24 |
$3K |
| 99401 |
|
133 |
111 |
$665.19 |
| 0503F |
|
64 |
51 |
$484.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
25 |
$0.00 |