| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,333 |
3,002 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,005 |
1,700 |
$120K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
428 |
406 |
$37K |
| 99385 |
|
167 |
148 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
278 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
436 |
378 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
68 |
$5K |
| 76830 |
Ultrasound, transvaginal |
69 |
68 |
$5K |
| 0503F |
|
83 |
74 |
$4K |
| 76801 |
|
44 |
42 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
26 |
$2K |
| 81025 |
|
485 |
453 |
$1K |
| 96127 |
|
83 |
72 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
120 |
86 |
$928.50 |
| H1000 |
Prenatal care, at-risk assessment |
33 |
25 |
$481.80 |
| 96160 |
|
16 |
12 |
$233.60 |