| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,435 |
3,237 |
$210K |
| 59410 |
|
105 |
81 |
$64K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
937 |
773 |
$58K |
| 59514 |
|
68 |
50 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
470 |
408 |
$37K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
654 |
482 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
430 |
408 |
$33K |
| 76830 |
Ultrasound, transvaginal |
417 |
395 |
$27K |
| 59025 |
Fetal non-stress test |
889 |
496 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
507 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
963 |
879 |
$14K |
| 81025 |
|
1,422 |
1,276 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
218 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
16 |
$2K |
| 54150 |
|
14 |
13 |
$848.15 |
| 85018 |
|
218 |
172 |
$354.87 |
| 80305 |
|
19 |
14 |
$153.56 |