| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,788 |
27,747 |
$1.77M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,072 |
1,054 |
$115K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,229 |
1,112 |
$90K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,494 |
1,113 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
908 |
855 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,971 |
1,549 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
576 |
566 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
269 |
$24K |
| 76830 |
Ultrasound, transvaginal |
252 |
247 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
10,098 |
9,373 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
217 |
209 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 81003 |
|
3,456 |
2,755 |
$8K |
| 85018 |
|
3,528 |
3,459 |
$8K |
| 81000 |
|
2,256 |
1,764 |
$8K |
| 81025 |
|
683 |
652 |
$4K |
| 90686 |
|
333 |
330 |
$4K |
| 59430 |
|
27 |
27 |
$3K |
| 90715 |
|
86 |
86 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
506 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$2K |
| 54150 |
|
15 |
14 |
$791.12 |
| 87210 |
|
197 |
184 |
$679.56 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
16 |
12 |
$348.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
77 |
$276.69 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
39 |
38 |
$158.42 |
| 3074F |
|
19 |
18 |
$0.00 |