| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,494 |
1,154 |
$141K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,023 |
1,023 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
926 |
$64K |
| 76820 |
|
1,424 |
812 |
$51K |
| 87797 |
|
1,236 |
1,212 |
$33K |
| 87480 |
|
1,902 |
1,858 |
$31K |
| 87510 |
|
1,903 |
1,859 |
$31K |
| 76830 |
Ultrasound, transvaginal |
345 |
336 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
338 |
271 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
367 |
$15K |
| 76818 |
|
84 |
39 |
$9K |
| 81025 |
|
1,248 |
1,228 |
$5K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
138 |
$2K |
| 90674 |
|
60 |
60 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 81000 |
|
313 |
304 |
$1K |
| 99459 |
|
47 |
45 |
$919.98 |
| 87660 |
|
28 |
27 |
$352.03 |