| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,858 |
1,769 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,415 |
1,305 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
812 |
798 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,080 |
1,003 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
305 |
305 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
251 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
797 |
746 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
115 |
114 |
$8K |
| 76801 |
|
103 |
101 |
$5K |
| S0190 |
Mifepristone, oral, 200 mg |
62 |
62 |
$4K |
| 99051 |
|
408 |
383 |
$3K |
| 59840 |
|
13 |
13 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
49 |
46 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
190 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
66 |
61 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
42 |
38 |
$2K |
| 76998 |
|
14 |
14 |
$829.24 |
| 59200 |
|
37 |
37 |
$829.17 |
| 81025 |
|
2,286 |
2,190 |
$826.99 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
58 |
46 |
$652.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$581.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
16 |
$497.74 |
| S0191 |
Misoprostol, oral, 200 mcg |
145 |
141 |
$334.59 |
| 36415 |
Collection of venous blood by venipuncture |
1,440 |
1,353 |
$17.82 |
| 85018 |
|
176 |
166 |
$13.04 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
16 |
$12.59 |
| J2704 |
Injection, propofol, 10 mg |
13 |
13 |
$3.64 |
| 96127 |
|
13 |
13 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 3292F |
|
47 |
47 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 96150 |
|
16 |
16 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
41 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |