| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,447 |
4,524 |
$249K |
| 76801 |
|
1,801 |
1,178 |
$169K |
| 59025 |
Fetal non-stress test |
2,549 |
1,099 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,825 |
1,256 |
$107K |
| 99070 |
|
5,722 |
3,719 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
752 |
558 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
288 |
227 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
650 |
555 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
393 |
284 |
$28K |
| 81025 |
|
3,255 |
2,562 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
171 |
90 |
$6K |
| 76830 |
Ultrasound, transvaginal |
55 |
41 |
$3K |
| 87210 |
|
1,554 |
652 |
$3K |
| 99459 |
|
141 |
139 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
90 |
$1K |
| 99385 |
|
14 |
12 |
$692.50 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
49 |
$183.30 |
| 99000 |
|
2,285 |
1,854 |
$78.00 |