| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,770 |
17,844 |
$1.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,424 |
1,275 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
456 |
430 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
142 |
142 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$13K |
| 59025 |
Fetal non-stress test |
230 |
214 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
88 |
80 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
76 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
26 |
$1K |
| 11721 |
|
349 |
308 |
$576.29 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
13 |
12 |
$449.75 |
| 11720 |
|
59 |
52 |
$152.06 |