| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76821 |
|
2,822 |
1,436 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,109 |
2,584 |
$198K |
| 76818 |
|
2,151 |
909 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,186 |
3,116 |
$146K |
| 76830 |
Ultrasound, transvaginal |
1,241 |
1,112 |
$119K |
| 76820 |
|
2,867 |
1,465 |
$103K |
| 59430 |
|
910 |
804 |
$89K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,148 |
1,037 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
850 |
759 |
$77K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
108 |
108 |
$66K |
| 59514 |
|
53 |
52 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
494 |
468 |
$31K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
206 |
205 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
454 |
443 |
$30K |
| 81003 |
|
9,456 |
5,981 |
$18K |
| 81025 |
|
1,551 |
1,392 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
398 |
368 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
38 |
$4K |
| 59025 |
Fetal non-stress test |
79 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 76857 |
|
41 |
38 |
$2K |
| 76801 |
|
14 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$899.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
60 |
$894.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
43 |
$824.30 |
| 87210 |
|
101 |
98 |
$490.69 |