| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,153 |
1,890 |
$99K |
| 76830 |
Ultrasound, transvaginal |
276 |
251 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
559 |
497 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
97 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
93 |
$7K |
| 81025 |
|
899 |
815 |
$6K |
| 59025 |
Fetal non-stress test |
122 |
84 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
46 |
41 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
27 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
54 |
41 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
171 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
35 |
31 |
$2K |
| 99385 |
|
35 |
30 |
$2K |
| 87210 |
|
435 |
384 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
20 |
$1K |
| 96127 |
|
191 |
179 |
$926.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
51 |
$397.82 |
| 90686 |
|
14 |
14 |
$248.82 |
| 81002 |
|
46 |
37 |
$99.11 |