| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,443 |
54,203 |
$2.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,593 |
1,458 |
$97K |
| 76830 |
Ultrasound, transvaginal |
1,227 |
1,187 |
$81K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
674 |
646 |
$62K |
| 76801 |
|
741 |
672 |
$52K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
563 |
515 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
10,617 |
9,964 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
391 |
384 |
$23K |
| 81025 |
|
1,437 |
1,353 |
$9K |
| 59025 |
Fetal non-stress test |
292 |
204 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
38 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$984.09 |
| 90674 |
|
27 |
27 |
$756.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$138.80 |
| 81002 |
|
31 |
26 |
$65.86 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.00 |