| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,477 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
624 |
565 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
511 |
$49K |
| 76830 |
Ultrasound, transvaginal |
447 |
409 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
52 |
$6K |
| 99385 |
|
49 |
43 |
$5K |
| 81025 |
|
1,333 |
1,111 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
37 |
$4K |
| 76813 |
|
34 |
26 |
$3K |
| 81003 |
|
1,362 |
710 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
57 |
$1K |
| 58100 |
|
14 |
12 |
$895.40 |
| 99499 |
|
1,386 |
839 |
$127.06 |
| 0502F |
|
940 |
506 |
$0.00 |
| 0500F |
|
69 |
63 |
$0.00 |
| 0503F |
|
26 |
25 |
$0.00 |