| Code | Description | Claims | Beneficiaries | Total Paid |
| 59840 |
|
3,087 |
3,082 |
$913K |
| 76801 |
|
6,144 |
5,944 |
$808K |
| 76830 |
Ultrasound, transvaginal |
6,559 |
6,439 |
$785K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,564 |
7,134 |
$573K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,651 |
2,638 |
$288K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,010 |
1,960 |
$229K |
| S0190 |
Mifepristone, oral, 200 mg |
2,405 |
2,402 |
$197K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,529 |
3,331 |
$196K |
| 81025 |
|
18,599 |
17,155 |
$119K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
899 |
865 |
$83K |
| 99215 |
Prolong outpt/office vis |
450 |
446 |
$60K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
581 |
571 |
$44K |
| 85013 |
|
6,073 |
6,003 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
569 |
567 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
376 |
375 |
$28K |
| 86901 |
|
4,582 |
4,550 |
$14K |
| 59841 |
|
25 |
25 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
43 |
42 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
26 |
$5K |
| S0191 |
Misoprostol, oral, 200 mcg |
2,815 |
2,809 |
$4K |
| 99385 |
|
49 |
49 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
263 |
262 |
$2K |
| 99242 |
|
50 |
49 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
13 |
13 |
$25.04 |
| J2590 |
Injection, oxytocin, up to 10 units |
13 |
13 |
$12.32 |
| 99051 |
|
14 |
14 |
$10.86 |