| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
2,165 |
1,245 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
679 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
229 |
$41K |
| 81002 |
|
1,643 |
1,399 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
37 |
$3K |
| 88142 |
|
193 |
182 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |