| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59840 |
|
1,153 |
1,153 |
$239K |
| 76801 |
|
1,758 |
1,708 |
$174K |
| 76830 |
Ultrasound, transvaginal |
1,490 |
1,472 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,169 |
2,032 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
350 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
592 |
559 |
$27K |
| 81025 |
|
4,633 |
4,306 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
201 |
199 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
211 |
210 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
100 |
95 |
$9K |
| 85013 |
|
1,959 |
1,947 |
$9K |
| S0190 |
Mifepristone, oral, 200 mg |
257 |
257 |
$8K |
| 86901 |
|
1,394 |
1,393 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$2K |
| S0191 |
Misoprostol, oral, 200 mcg |
366 |
366 |
$1K |