| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
3,836 |
3,450 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,199 |
6,371 |
$293K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,520 |
2,869 |
$228K |
| 76820 |
|
3,742 |
3,094 |
$190K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,913 |
2,570 |
$177K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,435 |
1,350 |
$117K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
49 |
40 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,371 |
1,207 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
522 |
457 |
$35K |
| 96160 |
|
1,376 |
1,280 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
253 |
$20K |
| 0500F |
|
417 |
355 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
253 |
$5K |
| 87210 |
|
1,163 |
1,044 |
$4K |
| 81002 |
|
929 |
810 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
29 |
$2K |
| 90715 |
|
59 |
52 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
236 |
200 |
$2K |
| 81025 |
|
205 |
190 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| 0503F |
|
42 |
37 |
$1K |
| 90674 |
|
49 |
42 |
$937.16 |
| 90686 |
|
32 |
24 |
$408.78 |
| 81003 |
|
113 |
101 |
$233.30 |
| 59430 |
|
24 |
24 |
$11.08 |
| 0502F |
|
19,239 |
16,232 |
$0.85 |