| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,967 |
4,357 |
$240K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
640 |
606 |
$59K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
355 |
309 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
341 |
297 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
265 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
256 |
241 |
$20K |
| 76830 |
Ultrasound, transvaginal |
191 |
165 |
$16K |
| 76801 |
|
145 |
129 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
148 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
827 |
728 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
127 |
109 |
$8K |
| 59025 |
Fetal non-stress test |
112 |
72 |
$3K |
| 99459 |
|
144 |
143 |
$2K |
| 85018 |
|
244 |
226 |
$519.71 |
| 81025 |
|
88 |
85 |
$478.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$342.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$23.30 |
| 81000 |
|
14 |
13 |
$15.33 |