| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,568 |
2,203 |
$91K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
648 |
558 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
356 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
327 |
$17K |
| 76830 |
Ultrasound, transvaginal |
310 |
303 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
136 |
135 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
201 |
161 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,474 |
3,745 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
188 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
68 |
67 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
418 |
392 |
$3K |
| 85018 |
|
2,173 |
1,892 |
$3K |
| 81025 |
|
414 |
390 |
$2K |
| 59025 |
Fetal non-stress test |
76 |
52 |
$2K |
| 90715 |
|
112 |
109 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$921.60 |
| 82950 |
|
193 |
188 |
$704.00 |
| 90686 |
|
65 |
62 |
$504.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
49 |
$478.80 |
| 87510 |
|
38 |
36 |
$268.80 |
| 87480 |
|
38 |
36 |
$268.80 |
| 87660 |
|
38 |
36 |
$268.80 |
| 81002 |
|
50 |
49 |
$88.78 |
| 36416 |
|
13 |
13 |
$41.02 |
| 76820 |
|
35 |
13 |
$0.00 |