| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,811 |
26,854 |
$3.62M |
| 59430 |
|
177 |
128 |
$4K |
| 0503F |
|
1,084 |
859 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,071 |
806 |
$161.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,778 |
7,774 |
$85.05 |
| 76830 |
Ultrasound, transvaginal |
825 |
627 |
$49.46 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
777 |
622 |
$42.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,774 |
1,399 |
$24.25 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
632 |
458 |
$19.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,145 |
3,408 |
$0.00 |
| 76801 |
|
961 |
732 |
$0.00 |
| 96127 |
|
877 |
715 |
$0.00 |
| 0500F |
|
1,766 |
1,429 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
398 |
247 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,225 |
860 |
$0.00 |
| 58100 |
|
19 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
131 |
$0.00 |
| 99385 |
|
15 |
13 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
44 |
24 |
$0.00 |
| 82105 |
|
35 |
12 |
$0.00 |
| 99459 |
|
35 |
30 |
$0.00 |
| 58300 |
|
63 |
48 |
$0.00 |
| 58301 |
|
25 |
13 |
$0.00 |
| 81025 |
|
3,998 |
3,098 |
$0.00 |
| 0502F |
|
16,701 |
8,894 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,383 |
1,094 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
160 |
$0.00 |
| 59025 |
Fetal non-stress test |
106 |
48 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
78 |
$0.00 |
| 81002 |
|
290 |
217 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
25 |
$0.00 |
| 96160 |
|
479 |
420 |
$0.00 |
| 76857 |
|
77 |
62 |
$0.00 |
| 76818 |
|
26 |
13 |
$0.00 |
| 11981 |
|
12 |
12 |
$0.00 |