| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76801 |
|
6,949 |
6,643 |
$420K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,810 |
3,810 |
$356K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,324 |
2,244 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
2,359 |
$181K |
| 98960 |
|
6,652 |
5,968 |
$92K |
| 76830 |
Ultrasound, transvaginal |
704 |
689 |
$52K |
| 76857 |
|
1,204 |
1,174 |
$47K |
| 81025 |
|
11,118 |
9,897 |
$38K |
| 86901 |
|
7,970 |
7,779 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,644 |
1,637 |
$15K |
| 85014 |
|
7,905 |
7,718 |
$12K |
| J9250 |
Methotrexate sodium, 5 mg |
1,282 |
1,279 |
$6K |
| 36416 |
|
68 |
68 |
$128.39 |