| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,504 |
1,616 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,172 |
1,865 |
$97K |
| 59425 |
|
962 |
691 |
$80K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,042 |
911 |
$53K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
747 |
327 |
$41K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
375 |
327 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
238 |
$19K |
| 87660 |
|
1,184 |
1,054 |
$18K |
| 87480 |
|
1,188 |
1,058 |
$18K |
| 87510 |
|
1,187 |
1,056 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
98 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
53 |
$6K |
| 90686 |
|
196 |
183 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,229 |
1,065 |
$2K |
| 81025 |
|
349 |
309 |
$2K |
| 90715 |
|
70 |
65 |
$2K |
| 76820 |
|
58 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$768.93 |
| 76830 |
Ultrasound, transvaginal |
16 |
15 |
$691.31 |
| 80305 |
|
64 |
57 |
$605.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$443.40 |
| 82950 |
|
99 |
94 |
$373.76 |
| 85018 |
|
86 |
73 |
$157.62 |
| 85014 |
|
86 |
73 |
$157.62 |