| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,155 |
643 |
$35K |
| 0502F |
|
482 |
313 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
183 |
148 |
$13K |
| 76830 |
Ultrasound, transvaginal |
196 |
185 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
131 |
128 |
$8K |
| 59025 |
Fetal non-stress test |
229 |
86 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
83 |
62 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
133 |
$4K |
| 76813 |
|
54 |
51 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
40 |
$3K |
| 0500F |
|
50 |
42 |
$2K |
| 76818 |
|
28 |
12 |
$2K |
| 81002 |
|
570 |
264 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 80305 |
|
157 |
84 |
$1K |
| 81025 |
|
125 |
113 |
$323.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$170.55 |
| 82274 |
|
12 |
12 |
$120.00 |