| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
12,242 |
6,970 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,916 |
13,673 |
$830K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,671 |
8,093 |
$613K |
| 59425 |
|
6,621 |
5,324 |
$574K |
| 76830 |
Ultrasound, transvaginal |
2,157 |
1,901 |
$149K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,653 |
1,435 |
$131K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,760 |
858 |
$74K |
| 59410 |
|
110 |
92 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
792 |
689 |
$53K |
| 81025 |
|
7,743 |
6,892 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,915 |
6,229 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
430 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
388 |
305 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
185 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
363 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
520 |
439 |
$4K |
| 76801 |
|
169 |
82 |
$4K |
| 90674 |
|
131 |
111 |
$2K |
| 90715 |
|
97 |
88 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,457 |
1,159 |
$2K |
| 90686 |
|
61 |
56 |
$837.45 |
| 99459 |
|
100 |
95 |
$704.00 |
| 90756 |
|
29 |
24 |
$390.10 |
| 87210 |
|
84 |
78 |
$305.52 |
| 87480 |
|
102 |
48 |
$281.75 |
| 87660 |
|
102 |
48 |
$281.75 |
| 87510 |
|
104 |
48 |
$252.70 |
| 81000 |
|
128 |
104 |
$183.66 |
| 81001 |
|
56 |
41 |
$34.84 |
| 0501F |
|
5,832 |
4,094 |
$0.00 |
| 3351F |
|
233 |
185 |
$0.00 |
| 3008F |
|
365 |
271 |
$0.00 |
| 59430 |
|
168 |
139 |
$0.00 |
| 0500F |
|
132 |
96 |
$0.00 |
| 0503F |
|
79 |
58 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
661 |
594 |
$0.00 |
| 0502F |
|
186 |
160 |
$0.00 |