| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,291 |
3,570 |
$293K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,773 |
1,464 |
$191K |
| 76830 |
Ultrasound, transvaginal |
1,375 |
1,327 |
$158K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,332 |
1,042 |
$118K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,285 |
534 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,021 |
1,012 |
$106K |
| 93975 |
|
167 |
166 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
849 |
826 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
355 |
351 |
$33K |
| 99385 |
|
272 |
266 |
$30K |
| 81000 |
|
7,976 |
4,499 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
258 |
246 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
206 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
82 |
$9K |
| 76813 |
|
66 |
65 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
476 |
404 |
$6K |
| 81025 |
|
731 |
715 |
$5K |
| 88150 |
|
277 |
276 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 96160 |
|
738 |
708 |
$2K |
| 99402 |
|
40 |
39 |
$2K |
| 99401 |
|
146 |
145 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
409 |
384 |
$854.27 |
| 88174 |
|
84 |
84 |
$416.14 |
| 96127 |
|
32 |
32 |
$155.84 |
| 87210 |
|
20 |
20 |
$88.18 |
| 0502F |
|
1,687 |
941 |
$0.00 |
| 99072 |
|
20 |
15 |
$0.00 |
| 99024 |
|
72 |
69 |
$0.00 |