| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,973 |
4,020 |
$405K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,772 |
1,447 |
$113K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,002 |
928 |
$113K |
| 76830 |
Ultrasound, transvaginal |
485 |
461 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
474 |
363 |
$28K |
| 76820 |
|
869 |
404 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
267 |
253 |
$23K |
| 76813 |
|
109 |
107 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$704.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$539.21 |
| 36416 |
|
109 |
107 |
$210.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$145.50 |