| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,128 |
3,024 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,535 |
5,386 |
$232K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,517 |
1,301 |
$112K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,515 |
1,431 |
$109K |
| 76830 |
Ultrasound, transvaginal |
923 |
835 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,333 |
1,260 |
$28K |
| 99205 |
Prolong outpt/office vis |
148 |
134 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
295 |
208 |
$15K |
| 81025 |
|
2,675 |
2,365 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,411 |
1,064 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
225 |
211 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
195 |
158 |
$11K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
297 |
235 |
$8K |
| 87808 |
|
815 |
656 |
$8K |
| 87899 |
|
890 |
640 |
$7K |
| 59025 |
Fetal non-stress test |
421 |
246 |
$6K |
| H0049 |
Alcohol and/or drug screening |
302 |
246 |
$4K |
| 80305 |
|
404 |
316 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
34 |
25 |
$2K |
| 81002 |
|
492 |
390 |
$721.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
27 |
$414.27 |
| 90756 |
|
16 |
14 |
$364.64 |
| 90674 |
|
15 |
12 |
$329.34 |