| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,457 |
4,682 |
$304K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,884 |
1,397 |
$114K |
| 76830 |
Ultrasound, transvaginal |
891 |
859 |
$58K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
415 |
404 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
291 |
205 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
648 |
610 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
237 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
194 |
165 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
161 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
110 |
108 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
274 |
258 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
387 |
369 |
$5K |
| 81025 |
|
361 |
344 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
94 |
$2K |
| 81003 |
|
12 |
12 |
$21.24 |