| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,847 |
2,413 |
$138K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
508 |
483 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
358 |
330 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
252 |
$22K |
| 81025 |
|
860 |
829 |
$6K |
| 81002 |
|
2,376 |
2,220 |
$6K |
| 76830 |
Ultrasound, transvaginal |
72 |
66 |
$5K |
| 59025 |
Fetal non-stress test |
139 |
77 |
$5K |
| 80305 |
|
546 |
513 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
75 |
66 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
191 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
54 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$583.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
38 |
$575.14 |