| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
554 |
550 |
$474K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,980 |
3,972 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,462 |
4,289 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,648 |
5,343 |
$264K |
| 76830 |
Ultrasound, transvaginal |
2,296 |
2,286 |
$160K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,725 |
1,723 |
$151K |
| 99385 |
|
1,519 |
1,516 |
$146K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,955 |
1,948 |
$106K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,477 |
1,408 |
$96K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
113 |
113 |
$84K |
| 76801 |
|
1,080 |
1,069 |
$74K |
| 59430 |
|
330 |
328 |
$68K |
| 81025 |
|
5,036 |
4,962 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
426 |
426 |
$34K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
285 |
281 |
$28K |
| 58558 |
|
41 |
41 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
827 |
811 |
$24K |
| 59025 |
Fetal non-stress test |
733 |
292 |
$21K |
| 81002 |
|
7,061 |
7,013 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,872 |
1,723 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
240 |
212 |
$13K |
| 82274 |
|
861 |
860 |
$10K |
| 76813 |
|
95 |
95 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
78 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90686 |
|
40 |
40 |
$769.08 |
| 90674 |
|
17 |
17 |
$479.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$392.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,234 |
1,233 |
$0.00 |