| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,268 |
3,941 |
$263K |
| 76830 |
Ultrasound, transvaginal |
1,939 |
1,807 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,098 |
1,025 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,032 |
973 |
$74K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
194 |
190 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
172 |
168 |
$14K |
| 99459 |
|
345 |
285 |
$5K |
| 99000 |
|
1,829 |
1,722 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
39 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
49 |
48 |
$4K |
| 59025 |
Fetal non-stress test |
139 |
115 |
$3K |
| 81025 |
|
429 |
395 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
148 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$849.85 |
| 90756 |
|
31 |
30 |
$579.73 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
26 |
$566.18 |
| 81002 |
|
169 |
164 |
$493.97 |
| 87210 |
|
66 |
63 |
$305.97 |
| 82950 |
|
54 |
50 |
$298.02 |
| 90686 |
|
13 |
13 |
$251.83 |
| 90674 |
|
13 |
13 |
$240.36 |
| 85018 |
|
75 |
72 |
$197.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$196.17 |