| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,972 |
2,020 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,790 |
1,002 |
$128K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
678 |
579 |
$72K |
| 59025 |
Fetal non-stress test |
439 |
220 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
211 |
204 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
922 |
750 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
91 |
86 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
39 |
$6K |
| 0500F |
|
110 |
104 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
41 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 0503F |
|
15 |
15 |
$752.25 |
| 96127 |
|
16 |
15 |
$233.60 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$158.28 |
| 84703 |
|
16 |
12 |
$114.56 |
| 36415 |
Collection of venous blood by venipuncture |
424 |
342 |
$0.00 |