| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,415 |
10,968 |
$1.47M |
| 0503F |
|
262 |
215 |
$2K |
| 76830 |
Ultrasound, transvaginal |
246 |
154 |
$71.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,332 |
1,713 |
$44.63 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
327 |
239 |
$44.58 |
| 76801 |
|
292 |
221 |
$37.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
2,126 |
$28.35 |
| 81025 |
|
2,033 |
1,489 |
$7.74 |
| 0500F |
|
585 |
439 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
352 |
245 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
53 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
78 |
60 |
$0.00 |
| 96127 |
|
131 |
107 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
204 |
140 |
$0.00 |
| 96160 |
|
147 |
132 |
$0.00 |
| 0502F |
|
7,432 |
3,855 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
781 |
597 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
315 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
32 |
$0.00 |