| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,239 |
2,829 |
$186K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,018 |
1,623 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,529 |
1,987 |
$86K |
| 81003 |
|
14,782 |
11,473 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
240 |
$16K |
| 76830 |
Ultrasound, transvaginal |
134 |
121 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
37 |
$3K |
| 85013 |
|
542 |
496 |
$3K |
| 81002 |
|
773 |
651 |
$2K |
| 76820 |
|
14 |
12 |
$724.54 |
| 90674 |
|
36 |
33 |
$690.00 |
| 36416 |
|
233 |
224 |
$635.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
74 |
$522.93 |
| 85014 |
|
39 |
37 |
$103.19 |
| 81025 |
|
14 |
12 |
$72.72 |
| 0500F |
|
20 |
13 |
$50.00 |
| 0501F |
|
10,503 |
5,705 |
$0.00 |
| 0502F |
|
10,504 |
5,697 |
$0.00 |
| 99072 |
|
288 |
227 |
$0.00 |