| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,471 |
1,205 |
$89K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
919 |
879 |
$71K |
| 76820 |
|
1,249 |
912 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,518 |
1,261 |
$57K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
644 |
406 |
$41K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
32 |
24 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
273 |
259 |
$19K |
| 81025 |
|
3,045 |
2,692 |
$16K |
| 81002 |
|
7,265 |
3,934 |
$13K |
| 99385 |
|
90 |
83 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
39 |
38 |
$7K |
| 76830 |
Ultrasound, transvaginal |
42 |
39 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
228 |
159 |
$3K |
| 0503F |
|
135 |
125 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
813 |
693 |
$2K |
| 0502F |
|
7,530 |
3,844 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$858.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
24 |
$535.99 |
| 96160 |
|
26 |
25 |
$325.13 |
| 82947 |
|
102 |
76 |
$313.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$239.61 |
| 82950 |
|
55 |
55 |
$230.67 |
| 59430 |
|
77 |
71 |
$230.56 |
| 90656 |
|
31 |
31 |
$217.47 |
| 0500F |
|
263 |
226 |
$110.00 |
| 99000 |
|
1,070 |
883 |
$0.91 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
250 |
232 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
401 |
367 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
65 |
53 |
$0.00 |
| 1036F |
|
93 |
77 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
506 |
460 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
882 |
762 |
$0.00 |