| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,918 |
8,863 |
$433K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
330 |
306 |
$429K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,444 |
3,653 |
$263K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,807 |
1,670 |
$138K |
| 59510 |
|
91 |
82 |
$121K |
| 76830 |
Ultrasound, transvaginal |
1,911 |
1,755 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
848 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,439 |
1,263 |
$92K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,445 |
1,161 |
$84K |
| 0503F |
|
1,588 |
1,352 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
847 |
716 |
$47K |
| 81025 |
|
7,982 |
6,617 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
416 |
382 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,321 |
2,119 |
$34K |
| 0500F |
|
2,498 |
1,755 |
$30K |
| 54150 |
|
130 |
120 |
$21K |
| 57454 |
|
180 |
171 |
$16K |
| 58558 |
|
29 |
25 |
$11K |
| 59430 |
|
847 |
703 |
$7K |
| 99459 |
|
396 |
369 |
$6K |
| 76801 |
|
85 |
79 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
24 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
23 |
21 |
$2K |
| 81002 |
|
681 |
589 |
$1K |
| 11981 |
|
14 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$970.07 |
| 0502F |
|
12,096 |
8,107 |
$470.03 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
58 |
$150.00 |
| 87210 |
|
43 |
40 |
$140.73 |
| 3008F |
|
64 |
59 |
$100.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
772 |
689 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
12 |
$0.00 |
| 99024 |
|
31 |
25 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
28 |
26 |
$0.00 |