| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
4,486 |
3,753 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,764 |
2,531 |
$312K |
| 0502F |
|
3,257 |
1,849 |
$169K |
| 93976 |
|
1,350 |
1,117 |
$158K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
57 |
40 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
552 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
615 |
494 |
$51K |
| 59025 |
Fetal non-stress test |
565 |
369 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
126 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
89 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
111 |
81 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
132 |
128 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
48 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
99 |
$3K |
| 81025 |
|
363 |
249 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
85 |
75 |
$2K |
| 90686 |
|
64 |
42 |
$1K |
| 82951 |
|
84 |
52 |
$1K |
| 99459 |
|
44 |
37 |
$643.91 |
| 90715 |
|
12 |
12 |
$431.94 |
| 90756 |
|
22 |
16 |
$380.25 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$339.28 |