| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,368 |
2,276 |
$108K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
784 |
783 |
$63K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,218 |
798 |
$57K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
801 |
731 |
$52K |
| 59426 |
|
50 |
50 |
$48K |
| 76830 |
Ultrasound, transvaginal |
440 |
434 |
$30K |
| 59025 |
Fetal non-stress test |
1,022 |
427 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
255 |
255 |
$22K |
| 59430 |
|
81 |
81 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
325 |
251 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
396 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
251 |
251 |
$13K |
| 76801 |
|
106 |
105 |
$8K |
| 85018 |
|
1,752 |
1,745 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
79 |
$3K |
| 81025 |
|
413 |
412 |
$3K |
| 99459 |
|
12 |
12 |
$159.28 |
| 96127 |
|
56 |
56 |
$153.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$134.70 |
| 0502F |
|
610 |
312 |
$0.00 |
| 99072 |
|
62 |
59 |
$0.00 |