| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,988 |
2,693 |
$193K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,376 |
1,369 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,482 |
2,361 |
$102K |
| 76830 |
Ultrasound, transvaginal |
1,417 |
1,392 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
943 |
903 |
$56K |
| 76801 |
|
457 |
451 |
$32K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
521 |
315 |
$17K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
535 |
292 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
184 |
178 |
$9K |
| 59025 |
Fetal non-stress test |
227 |
175 |
$8K |
| 81025 |
|
749 |
740 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
177 |
167 |
$4K |
| 76813 |
|
40 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
100 |
$1K |
| 90674 |
|
31 |
31 |
$849.66 |
| 90715 |
|
26 |
26 |
$846.34 |
| 97161 |
|
14 |
14 |
$835.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$716.59 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$675.18 |
| 96127 |
|
217 |
212 |
$648.44 |
| 99072 |
|
30 |
29 |
$0.00 |