| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76821 |
|
6,159 |
2,451 |
$409K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,487 |
2,369 |
$408K |
| 76820 |
|
6,529 |
2,543 |
$349K |
| 93325 |
|
4,430 |
1,781 |
$256K |
| 76828 |
|
5,472 |
2,033 |
$200K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,877 |
1,604 |
$111K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,709 |
1,116 |
$104K |
| 76825 |
|
355 |
335 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
553 |
431 |
$34K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
230 |
221 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
789 |
751 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
778 |
740 |
$26K |
| 76827 |
|
340 |
316 |
$18K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
422 |
405 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
729 |
679 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
442 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
95 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
316 |
$4K |
| 90686 |
|
150 |
148 |
$3K |
| 87480 |
|
301 |
284 |
$3K |
| 87510 |
|
301 |
284 |
$2K |
| 90715 |
|
68 |
67 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
35 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 87660 |
|
12 |
12 |
$235.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$147.92 |