| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,622 |
11,136 |
$410K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,664 |
1,645 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,881 |
1,702 |
$145K |
| 76830 |
Ultrasound, transvaginal |
1,226 |
1,157 |
$99K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,027 |
970 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
700 |
681 |
$52K |
| 99385 |
|
398 |
395 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
436 |
403 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,007 |
968 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
244 |
240 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,050 |
978 |
$17K |
| 59426 |
|
13 |
13 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
116 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
157 |
128 |
$11K |
| 59025 |
Fetal non-stress test |
228 |
140 |
$10K |
| 59425 |
|
13 |
12 |
$5K |
| 99386 |
|
26 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$3K |
| 58301 |
|
14 |
13 |
$1K |
| 76801 |
|
12 |
12 |
$897.12 |
| 87210 |
|
74 |
69 |
$363.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
62 |
$294.55 |
| 81025 |
|
27 |
27 |
$229.66 |
| 76376 |
|
16 |
15 |
$51.37 |