| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,767 |
6,164 |
$353K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,053 |
883 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,079 |
972 |
$61K |
| 59025 |
Fetal non-stress test |
1,309 |
744 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
324 |
289 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
341 |
328 |
$27K |
| 76830 |
Ultrasound, transvaginal |
417 |
385 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
460 |
351 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
215 |
199 |
$19K |
| 81025 |
|
1,707 |
1,464 |
$11K |
| 80305 |
|
511 |
461 |
$6K |
| 54150 |
|
119 |
112 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
58 |
45 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
117 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$2K |
| 99385 |
|
14 |
12 |
$1K |
| 58300 |
|
12 |
12 |
$711.57 |
| 81000 |
|
145 |
110 |
$125.21 |