| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,781 |
1,391 |
$67K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
281 |
230 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
153 |
$11K |
| 76801 |
|
134 |
103 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
88 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
55 |
40 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
60 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
140 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$168.35 |
| 81025 |
|
17 |
13 |
$98.84 |
| 81002 |
|
48 |
26 |
$42.57 |
| 81003 |
|
16 |
13 |
$26.20 |
| 0502F |
|
14 |
12 |
$0.00 |