| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,239 |
1,178 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
927 |
883 |
$59K |
| 76830 |
Ultrasound, transvaginal |
292 |
286 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
225 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
190 |
183 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
266 |
245 |
$15K |
| 59425 |
|
16 |
16 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$3K |
| 81025 |
|
356 |
350 |
$3K |
| 99385 |
|
21 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$34.10 |