| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,732 |
8,182 |
$403K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,644 |
2,644 |
$280K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,115 |
1,115 |
$148K |
| 76830 |
Ultrasound, transvaginal |
1,245 |
1,241 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,355 |
$90K |
| 99215 |
Prolong outpt/office vis |
561 |
561 |
$81K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
674 |
674 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
573 |
555 |
$59K |
| 58558 |
|
66 |
66 |
$52K |
| 76801 |
|
387 |
387 |
$45K |
| 59510 |
|
13 |
13 |
$38K |
| 99234 |
|
325 |
283 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,206 |
1,178 |
$16K |
| 90715 |
|
213 |
213 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
166 |
166 |
$10K |
| 59025 |
Fetal non-stress test |
287 |
236 |
$10K |
| 76818 |
|
57 |
26 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
67 |
67 |
$6K |
| 99385 |
|
53 |
53 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
51 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
72 |
72 |
$3K |
| 81002 |
|
842 |
838 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
370 |
$3K |
| 82947 |
|
435 |
435 |
$2K |
| 85018 |
|
614 |
613 |
$2K |
| 99442 |
|
28 |
26 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$989.36 |
| 99441 |
|
21 |
18 |
$520.66 |
| 90686 |
|
14 |
14 |
$271.27 |
| 59430 |
|
89 |
89 |
$0.00 |