| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
3,112 |
2,897 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,264 |
5,419 |
$283K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
118 |
113 |
$185K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,790 |
1,368 |
$147K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,418 |
1,362 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,124 |
1,107 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,747 |
2,564 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
934 |
895 |
$64K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,734 |
2,344 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
256 |
$29K |
| 59025 |
Fetal non-stress test |
660 |
188 |
$25K |
| 81025 |
|
3,206 |
2,965 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
234 |
204 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
104 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
70 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,522 |
2,344 |
$6K |
| 87210 |
|
776 |
742 |
$3K |
| 90715 |
|
25 |
25 |
$982.25 |
| 76820 |
|
30 |
20 |
$629.19 |
| 54150 |
|
12 |
12 |
$422.22 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
424 |
399 |
$214.91 |
| 90658 |
|
17 |
16 |
$190.36 |