| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,405 |
18,247 |
$777K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,274 |
3,587 |
$259K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,373 |
4,257 |
$257K |
| 76830 |
Ultrasound, transvaginal |
2,981 |
2,643 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,591 |
1,300 |
$87K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,011 |
813 |
$51K |
| 76820 |
|
1,169 |
765 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
559 |
502 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
422 |
350 |
$29K |
| 81025 |
|
6,575 |
5,367 |
$28K |
| 96160 |
|
1,286 |
946 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
334 |
$20K |
| 81002 |
|
8,945 |
7,608 |
$18K |
| 59025 |
Fetal non-stress test |
770 |
645 |
$16K |
| 85018 |
|
7,267 |
6,041 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
376 |
$10K |
| 0503F |
|
104 |
87 |
$6K |
| 0500F |
|
263 |
192 |
$5K |
| 99459 |
|
208 |
203 |
$3K |
| 90715 |
|
26 |
25 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
16 |
$969.55 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$828.00 |
| 90756 |
|
36 |
24 |
$677.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
53 |
$569.79 |
| 87210 |
|
75 |
68 |
$218.54 |
| 59430 |
|
138 |
101 |
$79.82 |
| 96127 |
|
14 |
13 |
$41.64 |
| 0502F |
|
288 |
232 |
$0.00 |