| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
6,032 |
3,584 |
$324K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,483 |
1,922 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,175 |
1,565 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
297 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
320 |
268 |
$28K |
| 0500F |
|
309 |
294 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
215 |
176 |
$17K |
| 59025 |
Fetal non-stress test |
456 |
247 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
171 |
144 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
141 |
104 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
640 |
420 |
$6K |
| 59430 |
|
36 |
27 |
$5K |
| 0503F |
|
73 |
64 |
$5K |
| 81025 |
|
423 |
345 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
65 |
53 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
112 |
83 |
$2K |
| 76801 |
|
20 |
13 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$862.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
12 |
$817.24 |
| 90686 |
|
31 |
26 |
$641.21 |
| 81003 |
|
58 |
34 |
$129.73 |
| 96160 |
|
180 |
124 |
$1.78 |