| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,249 |
3,695 |
$502K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,772 |
2,219 |
$451K |
| 93975 |
|
1,647 |
1,401 |
$378K |
| 59430 |
|
925 |
418 |
$184K |
| 76830 |
Ultrasound, transvaginal |
933 |
897 |
$111K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
997 |
440 |
$82K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
587 |
561 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
401 |
390 |
$44K |
| 81000 |
|
8,251 |
4,320 |
$27K |
| 99205 |
Prolong outpt/office vis |
125 |
122 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
263 |
213 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
173 |
146 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
146 |
127 |
$19K |
| 36410 |
|
1,215 |
848 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
101 |
79 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,302 |
1,778 |
$7K |
| 81025 |
|
834 |
757 |
$6K |
| 99459 |
|
198 |
164 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
227 |
146 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 99000 |
|
155 |
122 |
$2K |
| 99050 |
|
52 |
44 |
$1K |
| 87210 |
|
400 |
368 |
$1K |
| 59025 |
Fetal non-stress test |
17 |
13 |
$706.10 |
| 83986 |
|
295 |
254 |
$80.14 |