| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
883 |
878 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
968 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
258 |
258 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
139 |
124 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
255 |
255 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
502 |
449 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
53 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 81025 |
|
114 |
111 |
$709.85 |
| 99442 |
|
12 |
12 |
$632.28 |
| 59025 |
Fetal non-stress test |
16 |
12 |
$350.24 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
71 |
$188.83 |
| 87210 |
|
12 |
12 |
$57.84 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
347 |
346 |
$3.96 |