| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,389 |
7,102 |
$349K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,336 |
1,336 |
$107K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,887 |
2,764 |
$81K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,306 |
2,197 |
$75K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,032 |
561 |
$30K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
833 |
832 |
$20K |
| 81025 |
|
2,897 |
2,879 |
$19K |
| 76830 |
Ultrasound, transvaginal |
728 |
727 |
$17K |
| 76801 |
|
386 |
383 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
450 |
415 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
242 |
240 |
$9K |
| 59025 |
Fetal non-stress test |
174 |
103 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
137 |
$3K |
| 99385 |
|
12 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 90674 |
|
29 |
29 |
$705.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
50 |
$456.58 |
| 90715 |
|
12 |
12 |
$455.87 |
| 98966 |
|
15 |
15 |
$137.25 |