| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,366 |
2,096 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,747 |
5,622 |
$246K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,492 |
3,363 |
$196K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
43 |
$110K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
914 |
727 |
$94K |
| 76830 |
Ultrasound, transvaginal |
1,139 |
1,008 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
993 |
934 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,360 |
1,029 |
$17K |
| 99385 |
|
187 |
175 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
574 |
492 |
$14K |
| 81025 |
|
2,055 |
1,827 |
$11K |
| 81002 |
|
3,236 |
2,661 |
$5K |
| 76801 |
|
26 |
26 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
55 |
$3K |
| 82272 |
|
728 |
638 |
$2K |
| 90686 |
|
194 |
147 |
$2K |
| 90674 |
|
63 |
61 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
17 |
$844.87 |
| 85018 |
|
148 |
140 |
$305.10 |
| 90658 |
|
20 |
20 |
$0.00 |