| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,259 |
19,700 |
$978K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,911 |
5,548 |
$348K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,682 |
2,465 |
$182K |
| 76830 |
Ultrasound, transvaginal |
2,650 |
2,552 |
$173K |
| 76818 |
|
1,470 |
884 |
$122K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
881 |
862 |
$81K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
845 |
713 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,146 |
1,122 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,509 |
1,418 |
$47K |
| 0502F |
|
13,504 |
10,899 |
$41K |
| 76801 |
|
478 |
461 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
843 |
826 |
$33K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
196 |
187 |
$31K |
| 76813 |
|
383 |
364 |
$30K |
| 76642 |
|
363 |
345 |
$22K |
| 90715 |
|
694 |
692 |
$14K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
15 |
15 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
52 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
52 |
37 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
47 |
$3K |
| 99218 |
|
29 |
29 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
89 |
$1K |
| 99385 |
|
13 |
13 |
$904.16 |
| 3074F |
|
556 |
511 |
$755.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$743.42 |
| 3078F |
|
465 |
429 |
$615.00 |
| 99459 |
|
43 |
42 |
$594.08 |
| 96160 |
|
123 |
117 |
$292.63 |
| 90688 |
|
39 |
39 |
$260.40 |
| 90756 |
|
12 |
12 |
$256.14 |
| 0501F |
|
71 |
53 |
$0.00 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 3008F |
|
33 |
28 |
$0.00 |
| 4035F |
|
15 |
14 |
$0.00 |