| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,742 |
2,314 |
$99K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,527 |
1,245 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
621 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
807 |
495 |
$33K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
673 |
481 |
$22K |
| 0503F |
|
586 |
459 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
331 |
279 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
237 |
$14K |
| 76830 |
Ultrasound, transvaginal |
230 |
209 |
$13K |
| 0500F |
|
931 |
710 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
83 |
40 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
112 |
104 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
73 |
70 |
$5K |
| 76801 |
|
126 |
104 |
$5K |
| 59025 |
Fetal non-stress test |
202 |
172 |
$4K |
| 81025 |
|
767 |
578 |
$4K |
| 99221 |
|
70 |
45 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
77 |
62 |
$3K |
| 99218 |
|
43 |
29 |
$2K |
| 97802 |
|
67 |
55 |
$2K |
| 90715 |
|
67 |
52 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
37 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
160 |
$2K |
| 90836 |
|
36 |
30 |
$2K |
| 93976 |
|
23 |
14 |
$2K |
| 90674 |
|
25 |
18 |
$733.99 |
| 97803 |
|
23 |
21 |
$690.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
94 |
$641.21 |
| 85018 |
|
277 |
200 |
$463.74 |
| 76820 |
|
23 |
14 |
$385.25 |
| 90658 |
|
22 |
16 |
$308.33 |
| 90686 |
|
20 |
13 |
$240.06 |
| 99459 |
|
22 |
15 |
$236.38 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
82 |
$223.93 |
| 80305 |
|
16 |
13 |
$122.70 |
| 59430 |
|
34 |
26 |
$115.07 |
| 81003 |
|
58 |
48 |
$95.93 |
| 0501F |
|
150 |
121 |
$0.00 |
| 3294F |
|
50 |
49 |
$0.00 |
| 3292F |
|
58 |
50 |
$0.00 |
| 3754F |
|
59 |
51 |
$0.00 |
| 0502F |
|
7,360 |
5,772 |
$0.00 |