| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,469 |
1,402 |
$139K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
888 |
643 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
634 |
$70K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
634 |
536 |
$58K |
| 76857 |
|
936 |
903 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
881 |
805 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
236 |
236 |
$22K |
| 99441 |
|
436 |
419 |
$16K |
| 93975 |
|
48 |
48 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
72 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
122 |
121 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
26 |
$5K |
| 99459 |
|
173 |
171 |
$4K |
| 99385 |
|
31 |
31 |
$3K |
| 81002 |
|
1,386 |
852 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
56 |
$1K |
| 99386 |
|
12 |
12 |
$985.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
297 |
297 |
$91.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
78 |
53 |
$0.78 |