| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,625 |
2,044 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
566 |
452 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,711 |
1,416 |
$40K |
| 81002 |
|
11,340 |
8,191 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
373 |
276 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
195 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
272 |
171 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
195 |
98 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
484 |
434 |
$7K |
| 81025 |
|
1,363 |
1,091 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
82 |
65 |
$4K |
| 76801 |
|
56 |
28 |
$2K |
| 87210 |
|
496 |
419 |
$2K |
| 59025 |
Fetal non-stress test |
76 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
54 |
$747.20 |
| 90715 |
|
15 |
13 |
$710.10 |
| 3008F |
|
211 |
175 |
$481.63 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
234 |
214 |
$321.63 |
| 0500F |
|
84 |
60 |
$300.00 |
| 0503F |
|
253 |
216 |
$150.05 |
| 0502F |
|
3,983 |
2,611 |
$20.00 |
| 0501F |
|
3,246 |
2,125 |
$10.00 |
| 99080 |
|
786 |
341 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
112 |
97 |
$0.00 |