| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,468 |
4,449 |
$255K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
285 |
244 |
$17K |
| 76830 |
Ultrasound, transvaginal |
207 |
186 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
50 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
68 |
47 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
126 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,334 |
2,062 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
28 |
$2K |
| 93296 |
|
39 |
39 |
$180.88 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,119 |
1,944 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
255 |
219 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,057 |
2,660 |
$0.00 |
| 4004F |
|
17 |
16 |
$0.00 |
| 1090F |
|
16 |
15 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
29 |
13 |
$0.00 |
| 4040F |
|
18 |
17 |
$0.00 |
| 1036F |
|
2,264 |
1,920 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
244 |
211 |
$0.00 |
| 1123F |
|
18 |
17 |
$0.00 |
| 3017F |
|
24 |
24 |
$0.00 |