| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,701 |
3,337 |
$300K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,757 |
3,295 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,833 |
3,508 |
$155K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,064 |
1,039 |
$131K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,390 |
741 |
$97K |
| 76830 |
Ultrasound, transvaginal |
1,098 |
1,023 |
$73K |
| 96127 |
|
2,439 |
2,304 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
308 |
293 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
273 |
223 |
$17K |
| 59426 |
|
153 |
93 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
3,405 |
3,149 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
158 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
25 |
$2K |
| 90688 |
|
97 |
97 |
$2K |
| H0046 |
Mental health services, not otherwise specified |
22 |
14 |
$1K |
| 87210 |
|
271 |
128 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
214 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$625.91 |
| 58100 |
|
12 |
12 |
$619.00 |
| 82950 |
|
96 |
88 |
$462.02 |
| 83986 |
|
139 |
132 |
$450.54 |
| 90686 |
|
25 |
25 |
$425.81 |
| 85018 |
|
109 |
102 |
$224.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$167.42 |
| 99459 |
|
13 |
12 |
$106.15 |
| 81025 |
|
17 |
15 |
$103.32 |
| 81003 |
|
39 |
38 |
$80.75 |