| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,790 |
1,734 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,780 |
1,248 |
$123K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,524 |
1,478 |
$116K |
| 93975 |
|
364 |
356 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,296 |
1,186 |
$59K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
816 |
585 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,496 |
1,339 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
614 |
614 |
$44K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
493 |
422 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
305 |
304 |
$23K |
| 76857 |
|
147 |
145 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
106 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,203 |
1,191 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
108 |
78 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
455 |
336 |
$7K |
| 81002 |
|
1,875 |
1,211 |
$3K |
| 76820 |
|
69 |
52 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99441 |
|
32 |
29 |
$1K |
| 76818 |
|
21 |
14 |
$837.68 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
427 |
314 |
$800.07 |
| 81025 |
|
15 |
15 |
$57.77 |
| 99000 |
|
268 |
264 |
$0.00 |
| 99024 |
|
29 |
27 |
$0.00 |