| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
956 |
778 |
$70K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,104 |
949 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,022 |
887 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,676 |
1,411 |
$65K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,047 |
773 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
54 |
$7K |
| 90715 |
|
131 |
120 |
$5K |
| 81025 |
|
761 |
615 |
$4K |
| 0503F |
|
55 |
51 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
163 |
$1K |
| 99459 |
|
42 |
38 |
$612.89 |
| 87210 |
|
144 |
123 |
$488.07 |
| 81003 |
|
266 |
229 |
$380.45 |
| 90686 |
|
16 |
16 |
$322.20 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
52 |
50 |
$227.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$197.20 |
| 0500F |
|
52 |
46 |
$180.01 |
| 0502F |
|
8,595 |
7,400 |
$0.00 |