| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 52332 |
|
197 |
196 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,181 |
2,019 |
$75K |
| 52310 |
|
326 |
314 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
895 |
851 |
$33K |
| 52281 |
|
145 |
145 |
$29K |
| 96402 |
|
841 |
839 |
$23K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
420 |
408 |
$17K |
| J3315 |
Injection, triptorelin pamoate, 3.75 mg |
28 |
26 |
$8K |
| 51741 |
|
134 |
125 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
74 |
64 |
$3K |
| 55700 |
|
24 |
24 |
$2K |
| 54235 |
|
52 |
40 |
$1K |
| 76872 |
|
12 |
12 |
$616.44 |
| 76942 |
|
12 |
12 |
$0.00 |