| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
1,413 |
674 |
$129K |
| 59410 |
|
123 |
119 |
$86K |
| 59425 |
|
903 |
682 |
$80K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
529 |
482 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
432 |
385 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
455 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
327 |
284 |
$19K |
| 99234 |
|
155 |
125 |
$16K |
| 59515 |
|
14 |
14 |
$13K |
| 76830 |
Ultrasound, transvaginal |
72 |
65 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
194 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
134 |
122 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
320 |
$2K |
| 81025 |
|
336 |
309 |
$2K |
| 59025 |
Fetal non-stress test |
63 |
39 |
$2K |
| 85013 |
|
282 |
264 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
467 |
430 |
$1K |
| 82947 |
|
288 |
257 |
$961.93 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$891.24 |
| 80305 |
|
54 |
53 |
$647.39 |
| 87210 |
|
146 |
135 |
$434.22 |
| 36416 |
|
305 |
275 |
$1.00 |