| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,421 |
12,869 |
$600K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,116 |
1,098 |
$107K |
| 76801 |
|
1,048 |
1,022 |
$89K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,060 |
1,033 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,448 |
1,173 |
$62K |
| 81002 |
|
28,321 |
17,982 |
$61K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
750 |
724 |
$56K |
| 59025 |
Fetal non-stress test |
1,524 |
825 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
827 |
810 |
$39K |
| 59430 |
|
296 |
289 |
$25K |
| 81025 |
|
3,259 |
3,162 |
$19K |
| 99243 |
|
87 |
87 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
445 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
56 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$731.21 |
| 99024 |
|
4,869 |
3,214 |
$0.00 |
| 0503F |
|
462 |
403 |
$0.00 |
| 0500F |
|
108 |
106 |
$0.00 |
| 0501F |
|
108 |
105 |
$0.00 |
| 0502F |
|
5,296 |
3,231 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
14 |
$0.00 |