| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,198 |
5,980 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,835 |
1,395 |
$164K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,947 |
1,895 |
$126K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,213 |
858 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
804 |
781 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,337 |
2,192 |
$54K |
| 81025 |
|
7,051 |
6,283 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,269 |
1,241 |
$14K |
| 76830 |
Ultrasound, transvaginal |
115 |
109 |
$8K |
| 99205 |
Prolong outpt/office vis |
52 |
45 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$3K |
| 59025 |
Fetal non-stress test |
120 |
39 |
$3K |
| 81002 |
|
1,300 |
1,157 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 87210 |
|
478 |
409 |
$2K |
| 59430 |
|
17 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
18 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$804.10 |
| 99459 |
|
33 |
20 |
$220.80 |
| 99441 |
|
18 |
12 |
$93.25 |