| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,386 |
1,743 |
$272K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,116 |
2,101 |
$249K |
| 99215 |
Prolong outpt/office vis |
800 |
608 |
$119K |
| 76830 |
Ultrasound, transvaginal |
882 |
785 |
$77K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
958 |
839 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,101 |
821 |
$51K |
| 99205 |
Prolong outpt/office vis |
167 |
150 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
111 |
$19K |
| 99385 |
|
109 |
94 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
199 |
$8K |
| 81025 |
|
1,459 |
1,119 |
$8K |
| 99459 |
|
401 |
316 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
220 |
175 |
$5K |
| 87210 |
|
1,032 |
861 |
$4K |
| 81002 |
|
1,669 |
1,313 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
13 |
$2K |
| 17250 |
|
25 |
13 |
$705.75 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
107 |
$259.83 |
| 1111F |
|
219 |
147 |
$0.00 |
| 99000 |
|
335 |
210 |
$0.00 |