| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,019 |
4,294 |
$436K |
| 93976 |
|
1,559 |
1,417 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,405 |
2,907 |
$200K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,824 |
1,593 |
$113K |
| 76830 |
Ultrasound, transvaginal |
1,420 |
1,249 |
$101K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,169 |
1,032 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
785 |
676 |
$96K |
| 76818 |
|
988 |
378 |
$77K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
56 |
54 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
665 |
610 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
459 |
445 |
$48K |
| 81002 |
|
10,862 |
6,660 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
361 |
338 |
$30K |
| 76801 |
|
310 |
282 |
$22K |
| 96127 |
|
1,561 |
1,390 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
241 |
217 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,086 |
829 |
$15K |
| 81025 |
|
2,061 |
1,822 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
151 |
99 |
$12K |
| 99385 |
|
118 |
99 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
51 |
45 |
$3K |
| 99407 |
|
113 |
88 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
82 |
$2K |
| 99401 |
|
54 |
51 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$1K |
| 59025 |
Fetal non-stress test |
31 |
26 |
$987.98 |
| 58300 |
|
17 |
15 |
$754.18 |
| 90756 |
|
16 |
14 |
$467.33 |
| 0502F |
|
1,097 |
274 |
$0.00 |
| 76376 |
|
62 |
54 |
$0.00 |