| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,057 |
1,277 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,246 |
1,809 |
$104K |
| 59430 |
|
610 |
348 |
$87K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,144 |
536 |
$82K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
449 |
387 |
$56K |
| 99205 |
Prolong outpt/office vis |
264 |
264 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
468 |
467 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
492 |
391 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
442 |
330 |
$30K |
| 76801 |
|
270 |
202 |
$26K |
| 99215 |
Prolong outpt/office vis |
99 |
76 |
$13K |
| 81000 |
|
4,097 |
2,387 |
$12K |
| 76830 |
Ultrasound, transvaginal |
220 |
220 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
262 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
27 |
27 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
342 |
215 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,681 |
1,429 |
$3K |
| 81025 |
|
468 |
459 |
$3K |
| 36410 |
|
160 |
132 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 76813 |
|
13 |
13 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
39 |
$1K |
| 93975 |
|
43 |
43 |
$0.00 |
| 93976 |
|
13 |
13 |
$0.00 |