| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,872 |
13,055 |
$876K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,965 |
2,315 |
$446K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,898 |
4,085 |
$354K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,595 |
2,192 |
$236K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,227 |
1,971 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,204 |
1,743 |
$153K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,862 |
1,487 |
$128K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
97 |
82 |
$126K |
| 76830 |
Ultrasound, transvaginal |
1,682 |
1,375 |
$112K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
1,893 |
1,659 |
$89K |
| 81025 |
|
9,162 |
7,384 |
$60K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
916 |
689 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,556 |
1,123 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,680 |
2,031 |
$34K |
| 59025 |
Fetal non-stress test |
1,646 |
1,161 |
$33K |
| 85018 |
|
13,033 |
10,829 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
218 |
$22K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
116 |
101 |
$16K |
| 81003 |
|
8,389 |
5,774 |
$16K |
| 87210 |
|
3,602 |
2,884 |
$14K |
| 99234 |
|
67 |
64 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
84 |
$5K |
| 99442 |
|
53 |
45 |
$2K |
| 90686 |
|
103 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
51 |
$637.03 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
16 |
$613.52 |
| 82962 |
|
99 |
98 |
$259.30 |
| 0501F |
|
26 |
26 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
34 |
13 |
$0.00 |