| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,528 |
5,651 |
$407K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,117 |
3,291 |
$382K |
| 76818 |
|
3,331 |
2,103 |
$350K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,511 |
3,388 |
$290K |
| 76830 |
Ultrasound, transvaginal |
3,281 |
3,171 |
$288K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
60 |
60 |
$126K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
739 |
739 |
$73K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
272 |
272 |
$49K |
| 93976 |
|
295 |
293 |
$47K |
| 59426 |
|
167 |
109 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
394 |
381 |
$34K |
| 81025 |
|
6,856 |
5,993 |
$27K |
| 57150 |
|
484 |
465 |
$24K |
| 81002 |
|
12,456 |
9,820 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
227 |
$23K |
| 59425 |
|
167 |
142 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
185 |
$20K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
541 |
540 |
$20K |
| 76827 |
|
246 |
246 |
$15K |
| 99402 |
|
235 |
182 |
$12K |
| 59025 |
Fetal non-stress test |
240 |
195 |
$9K |
| 76801 |
|
45 |
45 |
$5K |
| 76813 |
|
45 |
45 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
392 |
390 |
$5K |
| 99442 |
|
42 |
40 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,613 |
2,430 |
$1K |
| 90715 |
|
13 |
13 |
$561.71 |
| 99441 |
|
19 |
19 |
$379.40 |
| 36410 |
|
60 |
56 |
$300.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$139.98 |