| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31,338 |
29,253 |
$3.54M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
22,491 |
21,013 |
$2.03M |
| 76830 |
Ultrasound, transvaginal |
14,259 |
13,990 |
$1.57M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,334 |
8,101 |
$1.49M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14,090 |
13,819 |
$1.21M |
| 76801 |
|
9,027 |
8,775 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,322 |
21,706 |
$1.05M |
| 76813 |
|
7,897 |
7,731 |
$982K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
10,706 |
7,242 |
$949K |
| 59025 |
Fetal non-stress test |
18,637 |
10,844 |
$914K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
11,895 |
8,213 |
$905K |
| 76820 |
|
18,750 |
12,014 |
$872K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,419 |
6,214 |
$858K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
327 |
321 |
$771K |
| 76818 |
|
4,787 |
3,759 |
$585K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,811 |
3,768 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,649 |
4,452 |
$341K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57,255 |
36,455 |
$334K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,688 |
2,653 |
$312K |
| 76825 |
|
719 |
709 |
$216K |
| 76821 |
|
2,164 |
1,339 |
$210K |
| 93976 |
|
668 |
655 |
$121K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,684 |
2,642 |
$118K |
| 76377 |
|
4,950 |
4,772 |
$115K |
| 97803 |
|
1,515 |
1,223 |
$90K |
| 81025 |
|
11,347 |
10,930 |
$74K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,219 |
3,125 |
$71K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,661 |
1,584 |
$59K |
| 76827 |
|
696 |
685 |
$56K |
| 97802 |
|
304 |
300 |
$41K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
566 |
552 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
631 |
606 |
$39K |
| 99459 |
|
1,931 |
1,902 |
$36K |
| 59510 |
|
12 |
12 |
$27K |
| 90686 |
|
1,538 |
1,360 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
216 |
215 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,329 |
1,182 |
$21K |
| 99215 |
Prolong outpt/office vis |
179 |
175 |
$21K |
| 99242 |
|
230 |
219 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,069 |
1,029 |
$16K |
| 93325 |
|
703 |
686 |
$15K |
| 90715 |
|
432 |
428 |
$13K |
| 76642 |
|
80 |
79 |
$8K |
| 59426 |
|
201 |
177 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
160 |
$7K |
| 76641 |
|
48 |
47 |
$6K |
| 59425 |
|
12 |
12 |
$5K |
| 77066 |
Tomosynthesis, mammo |
29 |
29 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$5K |
| 51701 |
|
109 |
109 |
$4K |
| 58300 |
|
25 |
25 |
$2K |
| 77062 |
|
27 |
27 |
$2K |
| 96127 |
|
335 |
329 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 90656 |
|
45 |
45 |
$1K |
| 90661 |
|
12 |
12 |
$467.64 |
| 81002 |
|
108 |
98 |
$304.69 |
| 51736 |
|
12 |
12 |
$166.94 |
| 0500F |
|
998 |
879 |
$0.00 |
| 0503F |
|
459 |
393 |
$0.00 |