| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,671 |
1,532 |
$89K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
560 |
533 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
683 |
632 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
417 |
406 |
$37K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
500 |
415 |
$34K |
| 76818 |
|
363 |
197 |
$29K |
| 59426 |
|
22 |
22 |
$20K |
| 59425 |
|
33 |
33 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
202 |
185 |
$12K |
| 99072 |
|
1,546 |
1,140 |
$8K |
| 81025 |
|
997 |
922 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
162 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
301 |
276 |
$4K |
| 76801 |
|
26 |
26 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$822.42 |
| 81002 |
|
297 |
264 |
$808.27 |
| A4550 |
Surgical trays |
228 |
209 |
$240.00 |
| 84703 |
|
15 |
14 |
$114.98 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
206 |
192 |
$6.25 |
| 0502F |
|
386 |
300 |
$1.04 |
| 99459 |
|
44 |
44 |
$0.00 |