| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,258 |
1,176 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
791 |
785 |
$33K |
| 76770 |
|
480 |
478 |
$20K |
| 51741 |
|
726 |
704 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$3K |
| 81002 |
|
994 |
958 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
29 |
$744.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$551.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
65 |
$88.54 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
44 |
44 |
$13.08 |
| 99337 |
|
16 |
16 |
$0.00 |