| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,966 |
1,849 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,670 |
1,537 |
$118K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
724 |
724 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,455 |
1,302 |
$57K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
843 |
836 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
672 |
591 |
$42K |
| 59426 |
|
13 |
13 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
145 |
115 |
$11K |
| 99459 |
|
381 |
373 |
$7K |
| 99401 |
|
254 |
250 |
$6K |
| 90674 |
|
162 |
161 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
54 |
50 |
$4K |
| 81025 |
|
2,338 |
2,281 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
261 |
250 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
258 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 87660 |
|
41 |
39 |
$421.16 |
| 87480 |
|
40 |
38 |
$411.30 |
| 87510 |
|
39 |
38 |
$401.44 |