| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,980 |
1,391 |
$122K |
| 76830 |
Ultrasound, transvaginal |
743 |
714 |
$85K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
913 |
556 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
724 |
668 |
$69K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
706 |
676 |
$67K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
646 |
395 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
285 |
269 |
$39K |
| 76820 |
|
590 |
355 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
252 |
170 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
163 |
$17K |
| 99385 |
|
123 |
123 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
257 |
$10K |
| 59426 |
|
13 |
13 |
$9K |
| 76801 |
|
92 |
61 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$8K |
| 81025 |
|
1,399 |
1,245 |
$7K |
| 99386 |
|
29 |
29 |
$4K |
| 81002 |
|
1,720 |
1,255 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
167 |
156 |
$333.00 |
| 0502F |
|
383 |
189 |
$0.00 |