| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
6,758 |
3,548 |
$594K |
| 59425 |
|
4,271 |
3,382 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,154 |
1,058 |
$114K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,052 |
884 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,233 |
1,061 |
$85K |
| 59430 |
|
299 |
275 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
481 |
433 |
$41K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
486 |
373 |
$33K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
334 |
146 |
$20K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
25 |
$17K |
| 59025 |
Fetal non-stress test |
283 |
151 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
288 |
144 |
$10K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
169 |
92 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
140 |
77 |
$7K |
| 76801 |
|
76 |
70 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
119 |
89 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
89 |
43 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
291 |
272 |
$2K |
| 81003 |
|
1,294 |
1,097 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 82950 |
|
364 |
342 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
15 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
40 |
$676.98 |
| 87653 |
|
15 |
15 |
$349.42 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
82 |
$237.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
13 |
$230.88 |