| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,007 |
1,592 |
$75K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
709 |
628 |
$64K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
442 |
358 |
$15K |
| 76818 |
|
136 |
71 |
$14K |
| 76830 |
Ultrasound, transvaginal |
139 |
137 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
204 |
194 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
164 |
162 |
$7K |
| 76801 |
|
51 |
47 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
24 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$847.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$643.59 |
| 93922 |
|
24 |
18 |
$638.43 |
| 95923 |
|
12 |
12 |
$412.98 |
| 95921 |
|
12 |
12 |
$249.77 |
| 96127 |
|
147 |
141 |
$193.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$182.11 |
| 36415 |
Collection of venous blood by venipuncture |
330 |
304 |
$158.91 |
| 93923 |
|
12 |
12 |
$151.17 |
| 81002 |
|
30 |
29 |
$33.62 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |