| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
292 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
444 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
125 |
$11K |
| 76830 |
Ultrasound, transvaginal |
36 |
16 |
$958.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
14 |
$614.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
15 |
$601.67 |
| 99385 |
|
17 |
15 |
$523.72 |
| 81003 |
|
62 |
42 |
$68.64 |
| 96127 |
|
75 |
58 |
$9.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
42 |
$0.00 |