| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
7,437 |
4,685 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,145 |
2,300 |
$281K |
| 76830 |
Ultrasound, transvaginal |
3,190 |
2,744 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,836 |
2,853 |
$199K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,009 |
2,629 |
$180K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,240 |
1,749 |
$156K |
| 76818 |
|
2,301 |
1,159 |
$154K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
65 |
65 |
$60K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
742 |
525 |
$51K |
| 59025 |
Fetal non-stress test |
1,414 |
931 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
383 |
350 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
129 |
$11K |
| 96127 |
|
713 |
561 |
$10K |
| 81003 |
|
3,021 |
2,059 |
$6K |
| 58558 |
|
49 |
38 |
$6K |
| 99215 |
Prolong outpt/office vis |
24 |
17 |
$2K |
| 90686 |
|
74 |
58 |
$1K |
| 76813 |
|
12 |
12 |
$794.50 |
| 90715 |
|
23 |
14 |
$693.87 |
| 81025 |
|
214 |
174 |
$543.59 |
| 82962 |
|
98 |
68 |
$163.60 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
30 |
$73.80 |
| 85018 |
|
24 |
13 |
$55.80 |