| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,099 |
3,388 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,087 |
886 |
$66K |
| 59025 |
Fetal non-stress test |
741 |
325 |
$8K |
| 0502F |
|
341 |
211 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
111 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
57 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
59 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| 81025 |
|
158 |
147 |
$860.54 |
| 99459 |
|
41 |
32 |
$338.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
12 |
$23.36 |