| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,409 |
3,308 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,504 |
2,463 |
$176K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,680 |
3,521 |
$173K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,300 |
3,241 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,298 |
2,180 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,796 |
2,603 |
$81K |
| 99201 |
|
1,998 |
1,873 |
$59K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
66 |
65 |
$53K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,954 |
2,890 |
$42K |
| 81025 |
|
3,726 |
3,582 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
152 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
94 |
$7K |
| 99000 |
|
591 |
585 |
$6K |
| 11981 |
|
39 |
39 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
668 |
663 |
$2K |
| 58300 |
|
15 |
15 |
$959.95 |
| 87210 |
|
103 |
103 |
$514.38 |
| 83986 |
|
42 |
42 |
$86.12 |
| 87806 |
|
61 |
41 |
$0.00 |