| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59025 |
Fetal non-stress test |
6,062 |
4,551 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
2,323 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,183 |
1,056 |
$59K |
| 36415 |
Collection of venous blood by venipuncture |
13,400 |
11,026 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
623 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
297 |
293 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
297 |
293 |
$11K |
| 90686 |
|
172 |
169 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 85018 |
|
610 |
586 |
$1K |
| 87653 |
|
26 |
25 |
$935.96 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$911.13 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$824.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
241 |
$779.11 |
| 82950 |
|
103 |
98 |
$519.65 |
| 86703 |
|
37 |
36 |
$410.25 |
| 84702 |
|
14 |
12 |
$299.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$45.81 |
| G9357 |
Post-partum screenings, evaluations and education performed |
12 |
12 |
$0.00 |