| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,055 |
882 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,545 |
12,919 |
$692K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,908 |
4,120 |
$355K |
| 99219 |
|
1,715 |
1,253 |
$136K |
| 99385 |
|
1,122 |
949 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,730 |
2,184 |
$70K |
| 59426 |
|
8,010 |
5,693 |
$61K |
| 99218 |
|
927 |
675 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
236 |
211 |
$24K |
| 54150 |
|
132 |
122 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
252 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
219 |
196 |
$15K |
| 99234 |
|
175 |
134 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
147 |
114 |
$13K |
| 59410 |
|
14 |
14 |
$12K |
| 0503F |
|
456 |
395 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
72 |
65 |
$6K |
| 99459 |
|
369 |
336 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
67 |
$5K |
| 96120 |
|
277 |
144 |
$5K |
| 99408 |
|
279 |
143 |
$4K |
| 96103 |
|
278 |
144 |
$3K |
| 76801 |
|
44 |
38 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
29 |
$2K |
| 59430 |
|
307 |
260 |
$2K |
| 99217 |
|
13 |
12 |
$694.59 |
| 36415 |
Collection of venous blood by venipuncture |
313 |
273 |
$472.18 |
| 0502F |
|
11,705 |
8,068 |
$349.12 |
| 0500F |
|
68 |
60 |
$80.00 |
| 81002 |
|
137 |
129 |
$2.46 |
| 99000 |
|
2,642 |
1,990 |
$1.95 |
| 99024 |
|
335 |
306 |
$0.00 |
| 0501F |
|
14 |
12 |
$0.00 |