| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,919 |
14,258 |
$946K |
| 76830 |
Ultrasound, transvaginal |
5,595 |
5,456 |
$505K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,660 |
4,428 |
$484K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,560 |
1,558 |
$158K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
980 |
955 |
$88K |
| 81025 |
|
10,761 |
10,387 |
$84K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
549 |
504 |
$58K |
| 93976 |
|
394 |
381 |
$51K |
| 93975 |
|
265 |
261 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
555 |
$23K |
| S9999 |
Sales tax |
701 |
570 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
67 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
79 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
353 |
340 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
42 |
42 |
$3K |
| 76376 |
|
103 |
100 |
$2K |
| 59025 |
Fetal non-stress test |
74 |
68 |
$2K |
| 90686 |
|
116 |
116 |
$2K |
| 90682 |
|
29 |
28 |
$2K |
| 87210 |
|
321 |
306 |
$2K |
| 87220 |
|
356 |
349 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$1K |
| 90673 |
|
19 |
19 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
55 |
$934.14 |
| 96127 |
|
70 |
64 |
$423.43 |
| 99459 |
|
30 |
26 |
$201.36 |
| 99072 |
|
152 |
139 |
$0.30 |