| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
30,712 |
14,235 |
$2.97M |
| 59425 |
|
16,966 |
12,384 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,109 |
18,612 |
$1.30M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,927 |
5,145 |
$602K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,973 |
6,416 |
$585K |
| 59410 |
|
533 |
518 |
$432K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,889 |
4,394 |
$406K |
| 59515 |
|
312 |
286 |
$286K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,888 |
1,695 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,457 |
2,196 |
$197K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,958 |
1,817 |
$168K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,554 |
1,296 |
$138K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,927 |
1,478 |
$115K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,000 |
792 |
$60K |
| 81025 |
|
9,174 |
8,185 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
20,646 |
17,722 |
$53K |
| 76801 |
|
330 |
291 |
$25K |
| 59514 |
|
269 |
233 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,016 |
2,761 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,647 |
1,392 |
$16K |
| 90715 |
|
553 |
514 |
$14K |
| 99219 |
|
122 |
103 |
$13K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
13 |
$13K |
| 82950 |
|
3,216 |
2,954 |
$12K |
| 81003 |
|
7,487 |
6,172 |
$12K |
| 90674 |
|
536 |
479 |
$11K |
| 90686 |
|
651 |
600 |
$10K |
| 99217 |
|
132 |
115 |
$8K |
| 76830 |
Ultrasound, transvaginal |
107 |
97 |
$7K |
| 99234 |
|
53 |
51 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
25 |
$3K |
| 11981 |
|
13 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
192 |
154 |
$1K |
| 82951 |
|
85 |
73 |
$832.04 |
| 90688 |
|
22 |
20 |
$358.38 |
| 95972 |
|
13 |
12 |
$307.59 |
| 99441 |
|
48 |
30 |
$244.49 |