| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,189 |
2,618 |
$218K |
| 76830 |
Ultrasound, transvaginal |
1,383 |
1,280 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
255 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
79 |
$8K |
| 59051 |
|
222 |
188 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
47 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
75 |
56 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
94 |
85 |
$4K |
| 81002 |
|
4,563 |
3,530 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
106 |
100 |
$1K |
| 81025 |
|
395 |
354 |
$240.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$131.22 |
| 87210 |
|
104 |
101 |
$48.92 |
| 83986 |
|
25 |
25 |
$16.58 |
| 0502F |
|
985 |
567 |
$0.00 |
| 3015F |
|
38 |
38 |
$0.00 |