| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
13,812 |
9,009 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,693 |
12,778 |
$691K |
| 59425 |
|
5,425 |
4,464 |
$407K |
| 59410 |
|
323 |
309 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,597 |
2,387 |
$197K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,365 |
1,203 |
$98K |
| 36415 |
Collection of venous blood by venipuncture |
8,972 |
7,725 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
222 |
194 |
$19K |
| 59515 |
|
19 |
15 |
$12K |
| 85018 |
|
5,737 |
5,180 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
13 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
146 |
72 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
529 |
416 |
$6K |
| 90686 |
|
394 |
344 |
$6K |
| 90651 |
|
13 |
12 |
$5K |
| 90715 |
|
205 |
160 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
376 |
186 |
$3K |
| 81025 |
|
432 |
405 |
$3K |
| 87210 |
|
347 |
285 |
$1K |
| 76830 |
Ultrasound, transvaginal |
28 |
24 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
12 |
$971.31 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
14 |
$304.64 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
12 |
$159.60 |
| 82950 |
|
15 |
15 |
$65.03 |
| 3008F |
|
2,813 |
2,364 |
$0.00 |
| 3079F |
|
361 |
301 |
$0.00 |
| 3074F |
|
2,009 |
1,665 |
$0.00 |
| 0500F |
|
506 |
448 |
$0.00 |
| 3351F |
|
472 |
414 |
$0.00 |
| 3080F |
|
57 |
45 |
$0.00 |
| 3075F |
|
128 |
107 |
$0.00 |
| 0503F |
|
71 |
63 |
$0.00 |
| 0502F |
|
14,025 |
10,197 |
$0.00 |
| 3078F |
|
1,426 |
1,153 |
$0.00 |
| 3077F |
|
93 |
71 |
$0.00 |