| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,554 |
19,925 |
$1.14M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,321 |
2,097 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,565 |
1,449 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
641 |
618 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
454 |
$36K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
484 |
440 |
$32K |
| H1000 |
Prenatal care, at-risk assessment |
155 |
135 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
95 |
88 |
$8K |
| 81025 |
|
1,144 |
1,029 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
66 |
63 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
204 |
$3K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$2K |
| 81002 |
|
451 |
436 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$963.92 |
| 90674 |
|
30 |
30 |
$809.46 |
| 59025 |
Fetal non-stress test |
17 |
14 |
$426.13 |