| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,712 |
7,903 |
$875K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,190 |
1,873 |
$196K |
| 59025 |
Fetal non-stress test |
4,369 |
1,760 |
$189K |
| 76830 |
Ultrasound, transvaginal |
1,215 |
1,050 |
$124K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
148 |
132 |
$120K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,129 |
911 |
$96K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,205 |
873 |
$90K |
| 59430 |
|
303 |
287 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
516 |
497 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
272 |
258 |
$29K |
| 59514 |
|
14 |
13 |
$22K |
| 76801 |
|
151 |
127 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
82 |
79 |
$15K |
| 54160 |
|
123 |
106 |
$13K |
| 76818 |
|
130 |
48 |
$12K |
| 81003 |
|
1,760 |
1,575 |
$8K |
| 58661 |
|
12 |
12 |
$8K |
| 87210 |
|
772 |
728 |
$6K |
| 58563 |
|
13 |
13 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
160 |
$4K |
| 81025 |
|
189 |
181 |
$2K |
| 90686 |
|
95 |
70 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
105 |
$1K |
| 90756 |
|
25 |
25 |
$503.23 |