| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,309 |
2,048 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,122 |
1,842 |
$94K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,080 |
1,004 |
$85K |
| 76830 |
Ultrasound, transvaginal |
938 |
919 |
$64K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,126 |
1,024 |
$55K |
| 59025 |
Fetal non-stress test |
658 |
294 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
246 |
236 |
$24K |
| 81025 |
|
2,506 |
2,340 |
$17K |
| 90674 |
|
525 |
508 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,251 |
1,164 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
203 |
$12K |
| 90715 |
|
213 |
203 |
$7K |
| 81002 |
|
1,548 |
1,413 |
$4K |
| 90661 |
|
97 |
94 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
50 |
37 |
$3K |
| 81005 |
|
872 |
780 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 76801 |
|
15 |
14 |
$1K |
| 76813 |
|
15 |
14 |
$941.00 |
| 87210 |
|
62 |
58 |
$282.65 |