| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
4,552 |
2,550 |
$377K |
| 59425 |
|
3,420 |
2,512 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,338 |
3,626 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,448 |
2,091 |
$197K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,495 |
1,261 |
$82K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
602 |
544 |
$57K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
531 |
472 |
$39K |
| 59410 |
|
50 |
49 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
639 |
604 |
$36K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
64 |
59 |
$34K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$13K |
| 81025 |
|
1,661 |
1,501 |
$11K |
| 76830 |
Ultrasound, transvaginal |
113 |
103 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
636 |
545 |
$9K |
| 59430 |
|
66 |
65 |
$9K |
| 59514 |
|
24 |
13 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
81 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
197 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
106 |
54 |
$6K |
| 80305 |
|
350 |
319 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
40 |
$3K |
| 82950 |
|
424 |
368 |
$2K |
| 85014 |
|
292 |
261 |
$636.96 |
| 85013 |
|
122 |
107 |
$598.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
25 |
$342.26 |
| 81002 |
|
18 |
17 |
$53.10 |
| 81003 |
|
29 |
27 |
$52.08 |
| 81000 |
|
17 |
15 |
$43.12 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
13 |
13 |
$0.00 |