| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,724 |
3,291 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,951 |
4,346 |
$383K |
| 59426 |
|
351 |
339 |
$228K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,833 |
2,518 |
$184K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,565 |
1,473 |
$131K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
871 |
823 |
$122K |
| 59430 |
|
878 |
832 |
$97K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
1,623 |
1,478 |
$72K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
658 |
637 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
366 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
169 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
88 |
$11K |
| 81002 |
|
884 |
665 |
$3K |
| 81025 |
|
313 |
287 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$124.20 |