| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,661 |
1,763 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,671 |
1,113 |
$88K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
698 |
425 |
$42K |
| 76830 |
Ultrasound, transvaginal |
140 |
133 |
$8K |
| 99215 |
Prolong outpt/office vis |
114 |
72 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
31 |
$3K |
| 59025 |
Fetal non-stress test |
103 |
57 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$536.24 |
| 90661 |
|
30 |
16 |
$258.07 |
| 81025 |
|
44 |
39 |
$221.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$161.73 |
| 81002 |
|
19 |
12 |
$17.78 |