| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,499 |
7,924 |
$294K |
| 59025 |
Fetal non-stress test |
9,170 |
6,999 |
$251K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,489 |
3,288 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,453 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,537 |
2,355 |
$65K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
712 |
692 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
270 |
$22K |
| 76830 |
Ultrasound, transvaginal |
260 |
241 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
153 |
139 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
156 |
$10K |
| 87210 |
|
1,931 |
843 |
$9K |
| 76801 |
|
54 |
53 |
$6K |
| 81025 |
|
597 |
567 |
$5K |
| 59425 |
|
13 |
13 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
40 |
38 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
859 |
835 |
$3K |
| 99221 |
|
25 |
25 |
$1K |
| 76813 |
|
13 |
12 |
$1K |
| 99219 |
|
13 |
12 |
$1K |
| 99218 |
|
15 |
13 |
$649.60 |
| 90715 |
|
12 |
12 |
$326.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
48 |
$198.51 |
| 81002 |
|
54 |
51 |
$148.68 |