| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,151 |
2,604 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,111 |
1,909 |
$47K |
| 76830 |
Ultrasound, transvaginal |
571 |
532 |
$36K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
612 |
532 |
$33K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
60 |
54 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
369 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
465 |
443 |
$28K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
393 |
150 |
$20K |
| 0502F |
|
639 |
350 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
112 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
661 |
642 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
122 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
91 |
90 |
$6K |
| 59430 |
|
56 |
51 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
118 |
112 |
$4K |
| 81025 |
|
775 |
703 |
$4K |
| 59025 |
Fetal non-stress test |
287 |
216 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
63 |
40 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
26 |
$2K |
| 0500F |
|
207 |
189 |
$1K |
| 90715 |
|
25 |
25 |
$776.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$455.70 |
| 90686 |
|
15 |
15 |
$285.45 |
| 81003 |
|
145 |
131 |
$207.51 |
| 0503F |
|
25 |
25 |
$150.00 |
| 99024 |
|
196 |
180 |
$0.00 |