| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,035 |
3,717 |
$209K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,429 |
1,366 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,136 |
1,053 |
$35K |
| 81002 |
|
11,725 |
9,809 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
173 |
168 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
119 |
$10K |
| 85018 |
|
4,369 |
4,172 |
$9K |
| 76830 |
Ultrasound, transvaginal |
72 |
69 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
87 |
80 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
152 |
147 |
$7K |
| 76801 |
|
44 |
41 |
$5K |
| 99385 |
|
52 |
49 |
$4K |
| 90674 |
|
104 |
97 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
198 |
190 |
$2K |
| 81025 |
|
320 |
300 |
$2K |
| 87210 |
|
453 |
429 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
150 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$1K |
| 36416 |
|
1,420 |
1,375 |
$902.92 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
100 |
95 |
$0.81 |