| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,610 |
3,823 |
$529K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,828 |
4,096 |
$388K |
| 76830 |
Ultrasound, transvaginal |
2,506 |
2,329 |
$225K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,521 |
2,340 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,513 |
1,386 |
$156K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,311 |
1,243 |
$152K |
| 99385 |
|
1,130 |
1,052 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
406 |
381 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
468 |
446 |
$59K |
| 99386 |
|
228 |
221 |
$34K |
| 58558 |
|
31 |
28 |
$29K |
| 81025 |
|
1,156 |
1,075 |
$5K |
| 3015F |
|
115 |
106 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$62.50 |