| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,707 |
2,136 |
$212K |
| 59426 |
|
2,665 |
1,298 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,611 |
$110K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
529 |
468 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
296 |
285 |
$28K |
| 59430 |
|
200 |
162 |
$28K |
| 81002 |
|
6,111 |
3,799 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
237 |
228 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
184 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
36 |
$5K |
| 76830 |
Ultrasound, transvaginal |
43 |
40 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
34 |
28 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
24 |
$2K |
| 81025 |
|
306 |
263 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
80 |
$1K |
| 59025 |
Fetal non-stress test |
21 |
15 |
$574.73 |
| 99354 |
|
17 |
13 |
$0.00 |