| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,394 |
3,868 |
$309K |
| 59025 |
Fetal non-stress test |
2,988 |
1,572 |
$139K |
| 76830 |
Ultrasound, transvaginal |
896 |
829 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
415 |
343 |
$43K |
| 81025 |
|
5,506 |
4,949 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
456 |
456 |
$32K |
| 57150 |
|
571 |
548 |
$30K |
| 81000 |
|
7,877 |
5,854 |
$29K |
| 87110 |
|
789 |
774 |
$15K |
| 87210 |
|
2,427 |
2,364 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
40 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$3K |
| 81002 |
|
1,350 |
1,253 |
$2K |