| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
2,676 |
1,149 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,329 |
3,275 |
$203K |
| 59425 |
|
890 |
535 |
$75K |
| 76830 |
Ultrasound, transvaginal |
451 |
380 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
271 |
229 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
590 |
543 |
$17K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
551 |
507 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
550 |
506 |
$17K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
541 |
499 |
$17K |
| 87808 |
|
1,395 |
1,241 |
$16K |
| 85027 |
|
2,410 |
2,183 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
120 |
91 |
$7K |
| 87210 |
|
1,794 |
1,581 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
86 |
83 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
77 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
67 |
$5K |
| 81025 |
|
718 |
639 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
37 |
$3K |
| 59025 |
Fetal non-stress test |
135 |
77 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$860.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$256.64 |