| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,102 |
2,047 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
721 |
$67K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
682 |
642 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
542 |
496 |
$37K |
| 76801 |
|
495 |
476 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
311 |
283 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
262 |
250 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
382 |
$9K |
| 0500F |
|
41 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
50 |
$644.08 |
| H1000 |
Prenatal care, at-risk assessment |
42 |
42 |
$613.20 |