| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,507 |
3,355 |
$230K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,317 |
1,233 |
$87K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
570 |
544 |
$42K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
644 |
569 |
$28K |
| 59514 |
|
40 |
37 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
330 |
312 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
191 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
154 |
137 |
$13K |
| 59025 |
Fetal non-stress test |
860 |
541 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
171 |
101 |
$8K |
| 0500F |
|
126 |
120 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
648 |
643 |
$6K |
| 90686 |
|
255 |
193 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
54 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
341 |
256 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
10,152 |
9,244 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
271 |
207 |
$2K |
| 90715 |
|
59 |
38 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
42 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$862.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$500.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$204.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
101 |
$0.00 |