| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,562 |
2,875 |
$209K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,430 |
1,866 |
$145K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
112 |
96 |
$137K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,531 |
3,418 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,468 |
2,817 |
$129K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,953 |
2,693 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,542 |
1,386 |
$108K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,289 |
2,744 |
$45K |
| 76830 |
Ultrasound, transvaginal |
1,150 |
1,000 |
$44K |
| 81025 |
|
8,942 |
7,263 |
$41K |
| 81002 |
|
21,849 |
14,824 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
799 |
711 |
$30K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
295 |
238 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
323 |
273 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
168 |
$13K |
| 76801 |
|
308 |
265 |
$11K |
| 0500F |
|
1,089 |
830 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
100 |
96 |
$6K |
| 0503F |
|
605 |
441 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
40 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
280 |
$4K |
| 99385 |
|
47 |
37 |
$3K |
| 59430 |
|
35 |
20 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$289.21 |
| 81003 |
|
83 |
71 |
$127.03 |
| 0502F |
|
120 |
109 |
$0.00 |
| 99080 |
|
59 |
53 |
$0.00 |
| 99024 |
|
189 |
165 |
$0.00 |
| 0501F |
|
54 |
47 |
$0.00 |