| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,205 |
2,922 |
$180K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,867 |
2,104 |
$175K |
| 76818 |
|
2,530 |
1,211 |
$161K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,880 |
1,860 |
$144K |
| 76830 |
Ultrasound, transvaginal |
1,873 |
1,797 |
$124K |
| 76801 |
|
1,792 |
1,311 |
$117K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,833 |
1,774 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,450 |
2,190 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,088 |
1,074 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
735 |
703 |
$58K |
| 87480 |
|
2,723 |
2,623 |
$46K |
| 87510 |
|
2,719 |
2,619 |
$46K |
| 81025 |
|
6,526 |
5,989 |
$45K |
| 87660 |
|
2,724 |
2,624 |
$45K |
| 81003 |
|
13,082 |
9,896 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
332 |
270 |
$18K |
| 87220 |
|
3,201 |
3,085 |
$11K |
| 90715 |
|
380 |
373 |
$10K |
| 87210 |
|
2,632 |
2,534 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
760 |
477 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
770 |
746 |
$7K |
| 59430 |
|
216 |
216 |
$6K |
| 99219 |
|
77 |
64 |
$5K |
| 90674 |
|
165 |
164 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
59 |
51 |
$3K |
| 59025 |
Fetal non-stress test |
65 |
54 |
$1K |
| 96127 |
|
387 |
367 |
$879.18 |
| 99221 |
|
14 |
13 |
$848.56 |
| 81002 |
|
342 |
298 |
$606.67 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,327 |
1,289 |
$0.00 |
| 99459 |
|
398 |
392 |
$0.00 |
| 0500F |
|
35 |
35 |
$0.00 |
| 99024 |
|
25 |
24 |
$0.00 |