| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,803 |
4,150 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,880 |
1,420 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
458 |
409 |
$49K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
566 |
544 |
$19K |
| 59025 |
Fetal non-stress test |
128 |
99 |
$7K |
| 76801 |
|
57 |
54 |
$5K |
| 81025 |
|
750 |
629 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
134 |
$3K |
| 76830 |
Ultrasound, transvaginal |
20 |
14 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$2K |
| 99234 |
|
14 |
13 |
$824.52 |
| 90688 |
|
91 |
67 |
$822.25 |
| 90658 |
|
13 |
12 |
$144.72 |
| 81003 |
|
66 |
55 |
$121.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
68 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
43 |
$0.00 |