| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,927 |
1,706 |
$121K |
| 76830 |
Ultrasound, transvaginal |
311 |
306 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
344 |
288 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
221 |
221 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
168 |
127 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
82 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
78 |
74 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
51 |
50 |
$5K |
| 96127 |
|
796 |
796 |
$4K |
| 99459 |
|
178 |
171 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 87510 |
|
83 |
82 |
$1K |
| 87660 |
|
83 |
82 |
$1K |
| 87480 |
|
71 |
70 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| 81002 |
|
326 |
321 |
$777.31 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
39 |
$114.30 |
| 81025 |
|
18 |
16 |
$107.60 |
| 81003 |
|
43 |
42 |
$82.16 |
| 81000 |
|
13 |
13 |
$40.44 |
| 3008F |
|
1,641 |
1,600 |
$0.00 |
| 3074F |
|
2,332 |
2,231 |
$0.00 |
| 1036F |
|
2,415 |
2,300 |
$0.00 |
| 99000 |
|
241 |
212 |
$0.00 |
| 1160F |
|
2,626 |
2,499 |
$0.00 |
| 3725F |
|
802 |
800 |
$0.00 |
| 3078F |
|
1,724 |
1,657 |
$0.00 |
| 1159F |
|
2,506 |
2,376 |
$0.00 |