| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,642 |
2,209 |
$242K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,018 |
1,605 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,369 |
2,196 |
$125K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
762 |
751 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
649 |
600 |
$43K |
| 76801 |
|
393 |
345 |
$37K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
228 |
222 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
272 |
268 |
$25K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
635 |
614 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
251 |
$18K |
| 59426 |
|
76 |
45 |
$13K |
| 59425 |
|
79 |
67 |
$11K |
| 76828 |
|
240 |
232 |
$10K |
| 81025 |
|
1,290 |
1,260 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,236 |
3,775 |
$8K |
| 99385 |
|
71 |
69 |
$6K |
| 87210 |
|
953 |
909 |
$4K |
| 93325 |
|
241 |
233 |
$4K |
| 59025 |
Fetal non-stress test |
158 |
122 |
$4K |
| 76813 |
|
27 |
26 |
$3K |
| 99459 |
|
200 |
194 |
$2K |
| 90756 |
|
63 |
62 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
12 |
$924.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
158 |
$891.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
64 |
$700.56 |
| 90688 |
|
26 |
25 |
$355.64 |
| 81002 |
|
86 |
81 |
$197.03 |