| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
5,566 |
3,635 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,217 |
4,564 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,441 |
4,196 |
$221K |
| 59425 |
|
3,459 |
2,611 |
$184K |
| 59025 |
Fetal non-stress test |
5,782 |
2,915 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,244 |
1,054 |
$53K |
| 59430 |
|
767 |
485 |
$49K |
| 76830 |
Ultrasound, transvaginal |
297 |
280 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
330 |
294 |
$23K |
| 81002 |
|
9,247 |
6,590 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
253 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
962 |
841 |
$11K |
| 81025 |
|
1,325 |
1,120 |
$7K |
| 76801 |
|
59 |
51 |
$5K |
| 99354 |
|
116 |
83 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
89 |
74 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
59 |
55 |
$3K |
| 99219 |
|
16 |
12 |
$2K |
| 95886 |
|
16 |
13 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
13 |
$1K |
| 62323 |
|
18 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
171 |
$869.21 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
238 |
180 |
$807.93 |
| 20610 |
|
60 |
57 |
$791.03 |
| 95885 |
|
19 |
12 |
$696.24 |
| 90715 |
|
29 |
26 |
$528.90 |
| 73130 |
|
71 |
68 |
$442.95 |
| 87210 |
|
76 |
66 |
$325.46 |
| 90686 |
|
33 |
32 |
$276.66 |
| 73562 |
|
55 |
51 |
$265.61 |
| 73110 |
|
44 |
38 |
$217.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$196.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
89 |
70 |
$91.02 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$0.00 |