| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,455 |
1,430 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,489 |
2,108 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,478 |
1,373 |
$88K |
| 99000 |
|
3,705 |
3,196 |
$30K |
| 76801 |
|
302 |
278 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
339 |
312 |
$28K |
| 81002 |
|
6,345 |
5,127 |
$18K |
| 36410 |
|
1,232 |
1,110 |
$16K |
| 81025 |
|
1,616 |
1,591 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$9K |
| 90688 |
|
362 |
360 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
407 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
60 |
37 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
62 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
168 |
$3K |
| 59430 |
|
27 |
24 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$2K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
701 |
614 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$1K |
| 90658 |
|
40 |
40 |
$587.17 |
| 0502F |
|
839 |
658 |
$0.00 |