| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,851 |
1,469 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,039 |
897 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
158 |
$13K |
| 81025 |
|
980 |
857 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
39 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
24 |
$2K |
| 76830 |
Ultrasound, transvaginal |
29 |
26 |
$2K |
| 81002 |
|
534 |
446 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
23 |
13 |
$771.90 |
| 85018 |
|
310 |
259 |
$409.10 |
| 99000 |
|
215 |
196 |
$335.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$167.85 |
| 87210 |
|
14 |
12 |
$30.16 |