| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,551 |
26,845 |
$1.71M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
964 |
854 |
$60K |
| H1000 |
Prenatal care, at-risk assessment |
571 |
413 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
706 |
$44K |
| 59025 |
Fetal non-stress test |
1,607 |
1,065 |
$35K |
| 76830 |
Ultrasound, transvaginal |
519 |
451 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
415 |
390 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
550 |
497 |
$14K |
| 81025 |
|
911 |
806 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
50 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$370.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$163.20 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
29 |
$66.11 |