| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,924 |
1,427 |
$132K |
| 59426 |
|
1,025 |
527 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,087 |
945 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
258 |
$18K |
| 81002 |
|
3,373 |
2,056 |
$9K |
| 59025 |
Fetal non-stress test |
247 |
173 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
244 |
$4K |
| 59430 |
|
42 |
40 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
36 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
42 |
40 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
13 |
$1K |
| 81025 |
|
79 |
70 |
$582.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
37 |
$380.69 |