| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,729 |
10,518 |
$604K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,779 |
3,670 |
$395K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,824 |
2,470 |
$312K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,738 |
3,253 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,451 |
2,275 |
$184K |
| 76820 |
|
2,204 |
1,438 |
$179K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,772 |
15,741 |
$159K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,496 |
2,331 |
$157K |
| 76818 |
|
1,748 |
1,324 |
$155K |
| 59025 |
Fetal non-stress test |
4,418 |
3,354 |
$138K |
| 87800 |
|
2,589 |
2,443 |
$120K |
| 76801 |
|
1,470 |
1,392 |
$107K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,552 |
2,387 |
$87K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
28 |
27 |
$56K |
| 76830 |
Ultrasound, transvaginal |
586 |
568 |
$47K |
| 76813 |
|
363 |
352 |
$37K |
| 80305 |
|
2,915 |
2,824 |
$32K |
| 81003 |
|
11,839 |
10,978 |
$30K |
| 81002 |
|
5,635 |
5,201 |
$16K |
| 81025 |
|
1,713 |
1,623 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
92 |
$10K |
| 54150 |
|
89 |
89 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
121 |
120 |
$9K |
| 87660 |
|
270 |
260 |
$7K |
| 87510 |
|
257 |
248 |
$7K |
| 87480 |
|
257 |
248 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
79 |
$6K |
| 90715 |
|
66 |
64 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
97 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
13,827 |
12,722 |
$2K |
| 90656 |
|
85 |
85 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 90686 |
|
33 |
33 |
$665.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$375.00 |
| J2675 |
Injection, progesterone, per 50 mg |
192 |
86 |
$189.70 |
| 99459 |
|
18 |
16 |
$139.95 |
| 87210 |
|
12 |
12 |
$64.42 |
| 81001 |
|
16 |
13 |
$50.68 |