| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
10,953 |
9,389 |
$853K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,803 |
6,785 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,357 |
2,238 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
876 |
851 |
$66K |
| 57454 |
|
118 |
117 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
134 |
131 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
109 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 87210 |
|
398 |
388 |
$986.38 |
| 81025 |
|
146 |
140 |
$654.53 |