| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,264 |
12,822 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,069 |
2,588 |
$374K |
| 76830 |
Ultrasound, transvaginal |
1,291 |
1,195 |
$128K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,569 |
1,200 |
$115K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
960 |
850 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,678 |
1,359 |
$86K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
9,649 |
7,727 |
$84K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
426 |
309 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
228 |
223 |
$28K |
| 76801 |
|
199 |
179 |
$21K |
| 76813 |
|
200 |
180 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
271 |
217 |
$21K |
| 76818 |
|
170 |
121 |
$19K |
| 59410 |
|
16 |
15 |
$18K |
| 76820 |
|
251 |
190 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
94 |
$10K |
| 59025 |
Fetal non-stress test |
328 |
239 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
86 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,266 |
2,971 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
115 |
$2K |
| 99219 |
|
45 |
38 |
$2K |
| 81025 |
|
214 |
183 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$162.96 |
| 99072 |
|
1,136 |
922 |
$6.57 |
| 99453 |
|
24 |
14 |
$0.00 |