| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,148 |
5,138 |
$437K |
| 76830 |
Ultrasound, transvaginal |
3,419 |
3,353 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,622 |
1,371 |
$152K |
| 93976 |
|
671 |
666 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
504 |
408 |
$41K |
| 57150 |
|
779 |
759 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
389 |
389 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
286 |
286 |
$26K |
| 59025 |
Fetal non-stress test |
584 |
321 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
198 |
198 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
155 |
133 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
171 |
146 |
$14K |
| 81025 |
|
4,551 |
4,091 |
$13K |
| 81002 |
|
7,549 |
5,994 |
$13K |
| 99441 |
|
398 |
384 |
$13K |
| 57180 |
|
60 |
50 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$2K |
| 99442 |
|
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$668.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$262.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$214.00 |
| 11721 |
|
27 |
27 |
$202.37 |
| 36415 |
Collection of venous blood by venipuncture |
300 |
279 |
$49.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$5.48 |