| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59840 |
|
1,498 |
1,490 |
$422K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,514 |
1,472 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,287 |
1,245 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
360 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
30 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,484 |
1,468 |
$3K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
429 |
429 |
$2K |
| 81025 |
|
412 |
398 |
$915.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,202 |
1,200 |
$552.53 |
| J2590 |
Injection, oxytocin, up to 10 units |
13 |
13 |
$83.50 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |