| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,570 |
5,677 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,535 |
3,454 |
$205K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
719 |
701 |
$74K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
742 |
646 |
$60K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
110 |
101 |
$57K |
| 59430 |
|
602 |
553 |
$52K |
| 59514 |
|
85 |
76 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
519 |
509 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
703 |
688 |
$37K |
| 81025 |
|
3,225 |
2,842 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
313 |
312 |
$20K |
| 76830 |
Ultrasound, transvaginal |
178 |
177 |
$16K |
| 81002 |
|
5,359 |
3,314 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
205 |
155 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
174 |
155 |
$12K |
| 81003 |
|
4,952 |
3,646 |
$9K |
| 99385 |
|
148 |
147 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
115 |
110 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
505 |
491 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
108 |
108 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
33 |
$1K |
| 90715 |
|
32 |
32 |
$983.32 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
25 |
$819.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$342.38 |
| 85018 |
|
136 |
135 |
$256.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$205.50 |
| 85014 |
|
65 |
65 |
$51.29 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
62 |
$0.00 |