| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
7,279 |
4,060 |
$605K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,228 |
7,689 |
$404K |
| 59425 |
|
4,489 |
3,324 |
$337K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,546 |
3,467 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,119 |
2,398 |
$152K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,222 |
1,051 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,741 |
1,449 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
647 |
527 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
16,687 |
13,309 |
$35K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
658 |
300 |
$24K |
| 81025 |
|
3,515 |
2,754 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
188 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,704 |
1,304 |
$12K |
| 76801 |
|
367 |
220 |
$11K |
| 99459 |
|
884 |
808 |
$10K |
| 96127 |
|
2,891 |
2,472 |
$9K |
| 87210 |
|
2,164 |
1,934 |
$8K |
| 90686 |
|
499 |
431 |
$6K |
| 90715 |
|
476 |
317 |
$6K |
| 85018 |
|
3,132 |
2,573 |
$5K |
| 76830 |
Ultrasound, transvaginal |
275 |
173 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
395 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
94 |
$4K |
| 59410 |
|
20 |
15 |
$3K |
| 90756 |
|
115 |
97 |
$2K |
| 81003 |
|
1,709 |
1,335 |
$2K |
| 87660 |
|
634 |
370 |
$2K |
| 82950 |
|
809 |
599 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
483 |
393 |
$2K |
| 87480 |
|
631 |
369 |
$2K |
| 90674 |
|
160 |
91 |
$2K |
| 36416 |
|
2,058 |
1,621 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
75 |
52 |
$1K |
| 87510 |
|
634 |
370 |
$1K |
| 0503F |
|
59 |
38 |
$895.00 |
| 76813 |
|
16 |
12 |
$783.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
28 |
$689.31 |
| 51798 |
|
130 |
90 |
$517.42 |
| 80305 |
|
89 |
74 |
$481.95 |
| 82947 |
|
89 |
66 |
$213.47 |
| 0500F |
|
20 |
14 |
$140.00 |
| 59430 |
|
18 |
12 |
$76.09 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
24 |
13 |
$30.00 |
| 96160 |
|
44 |
41 |
$27.12 |
| 0501F |
|
44 |
38 |
$0.00 |
| 0502F |
|
18,151 |
10,961 |
$0.00 |