| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,498 |
1,320 |
$75K |
| 93975 |
|
460 |
452 |
$40K |
| 76830 |
Ultrasound, transvaginal |
456 |
448 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
271 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
255 |
251 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
246 |
246 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
212 |
$8K |
| 99385 |
|
109 |
109 |
$8K |
| 99386 |
|
93 |
93 |
$7K |
| 99401 |
|
366 |
362 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$2K |
| 96160 |
|
868 |
858 |
$2K |
| 88150 |
|
234 |
234 |
$2K |
| 81025 |
|
420 |
406 |
$1K |
| 81000 |
|
867 |
835 |
$1K |
| 88141 |
|
172 |
172 |
$1K |
| 87210 |
|
490 |
487 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
111 |
$964.94 |
| 90658 |
|
35 |
35 |
$539.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$532.98 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
156 |
$284.26 |